Active NPI
Sophia Grace Larsen, PLMHP
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1518798883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14011
- Practice address
- 1541 Center Park Rd Ste 2
Lincoln, NE 68512-1227 - Phone
- (402) 261-0235
- Fax
- (402) 261-0428
- NPI assigned
- Aug 9, 2024
- Last updated
- Aug 9, 2024
- 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 | 14011 | NE | Primary |
Addresses
Primary practice location
1541 Center Park Rd Ste 2
Lincoln, NE 68512-1227
Mailing address
6837 Dudley St
Lincoln, NE 68505-1848
Phone (262) 422-2322
Other names 1
- Ms. Sophia Grace Hoelz
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 |
|---|---|---|---|
| 14011 | NE | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Behavioral Health and Wellness, PC | Mental Health | Current | Accepting new patients |
Locations
1541 Center Park Rd
#2
Lincoln, NE 68512
Phone (402) 261-0235
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1144937335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1518798883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6837 DUDLEY ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685051848",
"telephone_number": "262-422-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 CENTER PARK RD STE 2",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121227",
"telephone_number": "402-261-0235",
"fax_number": "402-261-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "SOPHIA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "PLMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "14011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOPHIA",
"last_name": "HOELZ",
"middle_name": "GRACE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 9, 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.