Active NPI
Elissa Faye Heibel, EDS
- Mental Health Counselor
- Columbus, NE
National Provider Identifier
1588075980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10587
- Practice address
- 3314 26TH St
Suite a
Columbus, NE 68601-2361 - Phone
- (402) 564-9888
- Fax
- (402) 564-9899
- NPI assigned
- May 19, 2014
- 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 | 10587 | NE | Primary |
Addresses
Primary practice location
3314 26TH St
Suite a
Columbus, NE 68601-2361
Mailing address
3314 26TH St
Suite a
Columbus, NE 68601-2361
Phone (402) 564-9888
Other names 1
- Elissa Faye Fattig
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 |
|---|---|---|---|
| 10587 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental and Behavioral Health, Inc. | Mental Health | 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.
-
- Mental Health Counselor
- Columbus, NE
- NPI 1104986884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1588075980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3314 26TH ST",
"address_2": "SUITE A",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686012361",
"telephone_number": "402-564-9888",
"fax_number": "402-564-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3314 26TH ST",
"address_2": "SUITE A",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686012361",
"telephone_number": "402-564-9888",
"fax_number": "402-564-9899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIBEL",
"first_name": "ELISSA",
"middle_name": "FAYE",
"credential": "EDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISSA",
"last_name": "FATTIG",
"middle_name": "FAYE",
"credential": "EDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.