Individual provider Active NPI

Tara Nicole Schroeder, LMHP, LADC

  • Mental Health Counselor
  • Hastings, NE
National Provider Identifier
1356544878
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5724 Issued in NE
Practice address
907 S Kansas Ave
Hastings, NE 68901-7024
Phone
(402) 462-4677
Fax
(402) 462-4699
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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 858 NE
Mental Health Counselor 101YM0800X 5724 NE Primary

Addresses

Primary practice location

907 S Kansas Ave
Hastings, NE 68901-7024

Mailing address

5807 Osborne Dr W
Hastings, NE 68901-9158
Phone (402) 463-5611

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
5724NEMDMental Health Counselor
858NEMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service Unit 9 CurrentSince Sep 20, 2022 Accepting new patients
The Bridge, Inc Past Accepting new patients

Locations

5807 Osborne Dr W
Hastings, NE 68901
Phone (402) 463-5611

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1356544878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 OSBORNE DR W",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689019158",
            "telephone_number": "402-463-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S KANSAS AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689017024",
            "telephone_number": "402-462-4677",
            "fax_number": "402-462-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "TARA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMHP, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "858",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.