NPIMap

Organization Active NPI

Therapeutic Play and Counseling

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1487198404
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3613, 1809 Issued in NE
Legal business name
THERAPEUTIC PLAY AND COUNSELING
Practice address
1310 N 13TH St
Suite 4
Norfolk, NE 68701-2592
Phone
(402) 371-9606
NPI assigned
Dec 9, 2016
Last updated
Dec 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Laura L Stoltz, LMHP,LPCNPI 1982899431
Title
Owner
Phone
(402) 371-9606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3613, 1809 NE Primary

Addresses

Primary practice location

1310 N 13TH St
Suite 4
Norfolk, NE 68701-2592

Mailing address

1310 N 13TH St
Suite 4
Norfolk, NE 68701-2592
Phone (402) 371-9606

Other identifiers 1

IdentifierTypeStateIssuer
1002554100MedicaidNE

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1487198404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N 13TH ST",
            "address_2": "SUITE 4",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012592",
            "telephone_number": "402-371-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N 13TH ST",
            "address_2": "SUITE 4",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012592",
            "telephone_number": "402-371-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC PLAY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "STOLTZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-371-9606",
        "authorized_official_credential": "LMHP,LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3613, 1809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002554100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.