Individual provider Active NPI

Jewel Swanson, PLMHP

  • Mental Health Counselor
  • O'Neill, NE
National Provider Identifier
1447739040
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11575 Issued in NE
Practice address
221 W Douglas St
Oneill, NE 68763
Phone
(402) 336-2800
Fax
(402) 336-2849
NPI assigned
Aug 14, 2018
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11575 NE Primary

Addresses

Primary practice location

221 W Douglas St
Oneill, NE 68763

Mailing address

PO Box 355
South Sioux City, NE 68776-0355
Phone (402) 494-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213001442 NE Practitioner - Mental Health Counselor 1759730914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Arbor Dr
South Sioux City, NE 68776-2421
Phone 4024943337112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11575NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Counseling Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Heartland Counseling Services.Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

938 E Zero St
Ainsworth, NE 69210
Phone (402) 387-1900

221 W Douglas St
Oneill, NE 68763
Phone (402) 336-2800

1201 Arbor Dr
South Sioux City, NE 68776

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera St Anthonys HospitalOneill, NE, CCN 281329 Hospital Corporate Director Jul 1, 2023
Avera St Anthonys HospitalOneill, NE, CCN 28Z329 Hospital Corporate Director Jul 1, 2023
Avera Medical Group O'NeillOneill, NE, CCN 288507 Rural health clinic Corporate Director Jul 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1447739040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687760355",
            "telephone_number": "402-494-3337",
            "fax_number": "402-494-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W DOUGLAS ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "68763",
            "telephone_number": "402-336-2800",
            "fax_number": "402-336-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JEWEL",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Neill, NE

Sources for this page

Verify at the official NPI Registry.