NPIMap

Organization Active NPI

Stephanie Huckins LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1598160426
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1228 Issued in NE
Legal business name
STEPHANIE HUCKINS LLC
Practice address
11605 Arbor St
Suite 106
Omaha, NE 68144-2982
Phone
(402) 330-4700
Fax
(402) 330-8815
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Stephanie A Huckins, MSW, LIMHPNPI 1952548679
Title
Owner
Phone
(402) 330-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1228 NE Primary
Social Worker 104100000X 1398 NE

Addresses

Primary practice location

11605 Arbor St
Suite 106
Omaha, NE 68144-2982

Mailing address

5022 Trail Creek Ave
Bellevue, NE 68157-2255
Phone (402) 330-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170711003447 NE Part B Supplier - Clinic/Group Practice 7618246349 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

13911 Gold Cir
Ste 220
Omaha, NE 68144
Phone (402) 204-0292

Practitioners & affiliated clinicians

Practitioners 3

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": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1598160426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 TRAIL CREEK AVE",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681572255",
            "telephone_number": "402-330-4700",
            "fax_number": "402-330-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 ARBOR ST",
            "address_2": "SUITE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442982",
            "telephone_number": "402-330-4700",
            "fax_number": "402-330-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE HUCKINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "HUCKINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-330-4700",
        "authorized_official_credential": "MSW, LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1228",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1398",
            "primary": false
        }
    ],
    "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 Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.