Individual provider Active NPI

Stephanie Zepeda, PLADC, PLMHP

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1326711490
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12683 Issued in NE
Practice address
910 W Park Ave
Norfolk, NE 68701-5044
Phone
(402) 371-0220
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-1892 NE
Mental Health Counselor 101YM0800X 12683 NE Primary

Addresses

Primary practice location

910 W Park Ave
Norfolk, NE 68701-5044

Mailing address

910 W Park Ave
Norfolk, NE 68701-5044
Phone (402) 371-0220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephaniec@womenslifeline.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P-1892NEMDAddiction (Substance Use Disorder) Counselor
12683NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Well NE Addiction (Substance Use Disorder) PastSince Sep 15, 2024 Accepting new patients
The Well NE Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1326711490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W PARK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015044",
            "telephone_number": "402-371-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W PARK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015044",
            "telephone_number": "402-371-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "STEPHANIE",
        "credential": "PLADC, PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1892",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephaniec@womenslifeline.net",
            "affiliation": "N",
            "address_1": "910 W Park Ave",
            "city": "Norfolk",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687015044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.