Individual provider Active NPI

Sherry Lynne Sutton, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1306456553
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2313 Issued in NE
Practice address
2240 Landon CT
Omaha, NE 68102-2414
Phone
(402) 346-0902
Fax
(402) 342-5290
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2313 NE Primary

Addresses

Primary practice location

2240 Landon CT
Omaha, NE 68102-2414

Mailing address

2240 Landon CT
Omaha, NE 68102-2414
Phone (402) 346-0902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240413000084 NE Practitioner - Mental Health Counselor 5890134654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2313NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Urban Indian Health Coalition, Inc. CurrentSince Mar 4, 2024 Accepting new patients

Locations

2231 Fairfield St
Ste 1
Lincoln, NE 68521
Phone (402) 434-7177

2226 N St
Omaha, NE 68107
Phone (402) 346-0902

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1306456553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 LANDON CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022414",
            "telephone_number": "402-346-0902",
            "fax_number": "402-342-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 LANDON CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022414",
            "telephone_number": "402-346-0902",
            "fax_number": "402-342-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "SHERRY",
        "middle_name": "LYNNE",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.