Active NPI
Michelle R Smith, LIMHP
- Mental Health Counselor
- Hastings, NE
National Provider Identifier
1477933240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1201
- Practice address
- 208 S Burlington Ave
Hastings, NE 68901-5904 - Phone
- (402) 705-2364
- NPI assigned
- Jun 5, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1201 | NE | Primary |
Addresses
Primary practice location
208 S Burlington Ave
Hastings, NE 68901-5904
Mailing address
1019 N Saunders Ave
Hastings, NE 68901-3813
Phone (402) 460-8670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100264589-00 | Medicaid | NE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopeaced Together LLC | Mental Health | Current | Accepting new patients |
| Sunrise Inspirations, PC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1477933240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 N SAUNDERS AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689013813",
"telephone_number": "402-460-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S BURLINGTON AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689015904",
"telephone_number": "402-705-2364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHELLE",
"middle_name": "R",
"credential": "LIMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-05",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100264589-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.