Active NPI
Hailey Marissa Pierce
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1497407597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12869
- Practice address
- 11218 John Galt Blvd Ste 204
Omaha, NE 68137-2358 - Phone
- (402) 506-9254
- Fax
- (620) 820-7643
- NPI assigned
- Jan 20, 2022
- 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 | 12869 | NE | Primary |
Addresses
Primary practice location
11218 John Galt Blvd Ste 204
Omaha, NE 68137-2358
Mailing address
11218 John Galt Blvd Ste 204
Omaha, NE 68137-2358
Phone (402) 506-9254
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
516 E
6TH
Valparaiso, NE 68065-0326
5539 S 27TH St
Suite 206
Lincoln, NE 68512-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12869 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edc of Denver, LLC | Current | Accepting new patients | |
| Edc of Denver, LLC | Past | Accepting new patients |
Locations
11218 John Galt Blvd
Ste 204
Omaha, NE 68137
Phone (402) 353-8080
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1891645800
-
- Psychiatric Hospital
- Omaha, NE
- NPI 1316529068
-
- Psychiatric Hospital
- Denver, CO
- NPI 1124165923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1497407597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11218 JOHN GALT BLVD STE 204",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372358",
"telephone_number": "402-506-9254",
"fax_number": "620-820-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11218 JOHN GALT BLVD STE 204",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372358",
"telephone_number": "402-506-9254",
"fax_number": "620-820-7643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "HAILEY",
"middle_name": "MARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "12869",
"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 Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.