Individual provider Active NPI

Steven Jon Fankhauser, MA, PLMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1477318004
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13793 Issued in NE
Practice address
3700 Sheridan Blvd Ste 1
Lincoln, NE 68506-6100
Phone
(402) 489-1834
Fax
(402) 489-2046
NPI assigned
Feb 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 13793 NE Primary

Addresses

Primary practice location

3700 Sheridan Blvd Ste 1
Lincoln, NE 68506-6100

Mailing address

3700 Sheridan Blvd Ste 1
Lincoln, NE 68506-6100
Phone (402) 489-1834

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
13793NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Immaculate Heart of Mary Counseling Center Mental Health CurrentSince Feb 18, 2024 Accepting new patients

Locations

3700 Sheridan Blvd
Ste 1
Lincoln, NE 68506

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1477318004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SHERIDAN BLVD STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066100",
            "telephone_number": "402-489-1834",
            "fax_number": "402-489-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SHERIDAN BLVD STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066100",
            "telephone_number": "402-489-1834",
            "fax_number": "402-489-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANKHAUSER",
        "first_name": "STEVEN",
        "middle_name": "JON",
        "credential": "MA, PLMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.