Celeste L Heaivilin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7068 Issued in NE

Practice address

3180 W Highway 34
Ahec Office
Grand Island, NE 68801-7279

Phone

(308) 385-6428

Fax

(308) 385-6414

NPI assigned

Jan 30, 2007

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1326185505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N ELM ST STE 108",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014509",
            "telephone_number": "308-227-9271",
            "fax_number": "308-381-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 W HIGHWAY 34",
            "address_2": "AHEC OFFICE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688017279",
            "telephone_number": "308-385-6428",
            "fax_number": "308-385-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAIVILIN",
        "first_name": "CELESTE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251308-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.