Active NPI
Eleanor Marie Devlin, LMHP
- Addiction (Substance Use Disorder) Counselor
- Papillion, NE
National Provider Identifier
1356589048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 417
- Practice address
- 1410 E Gold Coast Rd
Suite 500
Papillion, NE 68046-5799 - Phone
- (402) 932-0666
- Fax
- (402) 932-1376
- NPI assigned
- Feb 3, 2009
- 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 | 417 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 417 | NE |
Addresses
Primary practice location
1410 E Gold Coast Rd
Suite 500
Papillion, NE 68046-5799
Mailing address
1410 E Gold Coast Rd
Suite 500
Papillion, NE 68046-5799
Phone (402) 932-0666
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 |
|---|---|---|---|
| 417 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1356589048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 E GOLD COAST RD",
"address_2": "SUITE 500",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680465799",
"telephone_number": "402-932-0666",
"fax_number": "402-932-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 E GOLD COAST RD",
"address_2": "SUITE 500",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680465799",
"telephone_number": "402-932-0666",
"fax_number": "402-932-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "ELEANOR",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "417",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "417",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.