Individual provider Active NPI

Haley R Stroud, LICSW, PLADC, MSCJ

  • Social Worker
  • Omaha, NE
National Provider Identifier
1376137000
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7474 Issued in NE
Practice address
13520 Discovery Dr Ste 202
Omaha, NE 68137-3002
Phone
(402) 915-8344
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12193 NE
Social Worker 104100000X 7474 NE Primary

Addresses

Primary practice location

13520 Discovery Dr Ste 202
Omaha, NE 68137-3002

Mailing address

3076 Stephanos Dr
Lincoln, NE 68516-1642
Phone (402) 915-8344

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
12193NEMDMental Health Counselor
7474NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Life Counseling Mental Health CurrentSince Oct 29, 2023 Accepting new patients

Locations

13520 Discovery Dr
Ste 202
Omaha, NE 68137
Phone (402) 915-8344

Organizations & group practices 1

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1376137000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 STEPHANOS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161642",
            "telephone_number": "402-915-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13520 DISCOVERY DR STE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373002",
            "telephone_number": "402-915-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "HALEY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LICSW, PLADC, MSCJ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12193",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "7474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.