Organization Active NPI

Sarah Spellbrink Counseling, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Island, NE
National Provider Identifier
1356809727
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SARAH SPELLBRINK COUNSELING, P.C.
Practice address
312 N Elm St Ste 115
Grand Island, NE 68801-4509
Phone
(308) 379-6932
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Mrs. Sarah Diane Spellbrink, LIMHPNPI 1659455004
Title
President
Phone
(308) 379-6932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

312 N Elm St Ste 115
Grand Island, NE 68801-4509

Mailing address

4066 David Ave
Grand Island, NE 68803-1112
Phone (308) 379-6932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240226003182 NE Part B Supplier - Clinic/Group Practice 2466897830 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Island, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1356809727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 DAVID AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031112",
            "telephone_number": "308-379-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N ELM ST STE 115",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014509",
            "telephone_number": "308-379-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH SPELLBRINK COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "SPELLBRINK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-379-6932",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.