Individual provider Active NPI

Sara Chavez, LIMHP, LCSW, LADC

  • Mental Health Counselor
  • Hastings, NE
National Provider Identifier
1326564865
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
616 W 5TH St
Hastings, NE 68901-5104
Phone
(402) 463-5684
Fax
(402) 463-5686
NPI assigned
Aug 16, 2017
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 NE Primary

Addresses

Primary practice location

616 W 5TH St
Hastings, NE 68901-5104

Mailing address

2230 Griffith St
Lincoln, NE 68503-1334
Phone (308) 830-2513

Other practice location 1

1941 S 42nd St Ste 542
Omaha, NE 68105-2945
Phone (402) 401-4445

Other identifiers 3

IdentifierTypeStateIssuer
47064522904MedicaidNE
47064522095MedicaidNE
47064522900MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230429000276 NE Practitioner - Clinical Social Worker 0749645596 Reassigns benefits to 2 organizations
I20251230002286 NE Practitioner - Mental Health Counselor 0749645596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1941 S 42ND St
Suite 506
Omaha, NE 68105-2945

5402 Northwest Dr
Omaha, NE 68104-2844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1876NEMDMental Health Counselor
2460NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Counseling and Studio, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
South Central Behavioral Services CurrentSince Apr 1, 2023 Accepting new patients
South Central Behavioral Services CurrentSince Apr 1, 2023 Accepting new patients
Restore Rebuild Reconnect Counseling Center CurrentSince Nov 1, 2025 Accepting new patients

Locations

616 W 5th St
Hastings, NE 68901
Phone (402) 463-5684

3810 Central Ave
Kearney, NE 68847
Phone (308) 237-5951

1941 S 42nd St
Ste 506
Omaha, NE 68105
Phone (402) 788-4846

1941 S 42nd St
Ste 542
Omaha, NE 68105
Phone (402) 401-4445

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1326564865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 GRIFFITH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031334",
            "telephone_number": "308-830-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W 5TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015104",
            "telephone_number": "402-463-5684",
            "fax_number": "402-463-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 S 42nd St Ste 542",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681052945",
            "country_code": "US",
            "telephone_number": "402-401-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "SARA",
        "credential": "LIMHP, LCSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47064522904",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47064522095",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47064522900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.