Active NPI
Joan Stahly-Rouse, LMHP, LPC
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1518040849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2460
- Practice address
- 4535 Normal Blvd
Suite 142
Lincoln, NE 68506-2891 - Phone
- (402) 560-1413
- Fax
- (402) 261-8263
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 2460 | NE | Primary |
Addresses
Primary practice location
4535 Normal Blvd
Suite 142
Lincoln, NE 68506-2891
Mailing address
4535 Normal Blvd
Suite 142
Lincoln, NE 68506-2891
Phone (402) 560-1413
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84234 | Other | NE | BLUECROSS, BLUESHIELD |
| 238325 | Other | NE | MIDLAND CHOICE |
| 337684 | Other | NE | VALUEOPTIONS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2460 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navigate LLC | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Lincoln, NE
- NPI 1073004586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1518040849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 NORMAL BLVD",
"address_2": "SUITE 142",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062891",
"telephone_number": "402-560-1413",
"fax_number": "402-261-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 NORMAL BLVD",
"address_2": "SUITE 142",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062891",
"telephone_number": "402-560-1413",
"fax_number": "402-261-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHLY-ROUSE",
"first_name": "JOAN",
"credential": "LMHP, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS, BLUESHIELD",
"identifier": "84234",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND CHOICE",
"identifier": "238325",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "337684",
"state": "NE"
}
],
"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 May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.