Active NPI
Stephanie Zepeda, PLADC, PLMHP
- Mental Health Counselor
- Norfolk, NE
National Provider Identifier
1326711490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12683
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P-1892 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 12683 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Well NE | Addiction (Substance Use Disorder) | Past | 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.
-
- Substance Abuse Rehabilitation Facility
- Norfolk, NE
- NPI 1306909692
Addiction (Substance Use Disorder)
-
- Substance Abuse Rehabilitation Facility
- Norfolk, NE
- NPI 1992033567
Addiction (Substance Use Disorder)
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.