Organization Active NPI

Down to Earth Counseling LLC

  • Counselor
  • Omaha, NE
National Provider Identifier
1609440312
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DOWN TO EARTH COUNSELING LLC
Practice address
13911 Gold Cir Ste 240
Omaha, NE 68144-2376
Phone
(402) 686-3168
Fax
(531) 999-2356
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Heather Renee Hazel, LIMHPNPI 1629479613
Title
Owner
Phone
(402) 517-5285

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

13911 Gold Cir Ste 240
Omaha, NE 68144-2376

Mailing address

13911 Gold Cir Ste 240
Omaha, NE 68144-2376
Phone (402) 686-3168

Other identifiers 1

IdentifierTypeStateIssuer
100263247-00MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241011001810 NE Part B Supplier - Clinic/Group Practice 4688106917 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

11605 W Dodge Rd
Omaha, NE 68154
Phone (402) 979-7770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1609440312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 GOLD CIR STE 240",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442376",
            "telephone_number": "402-686-3168",
            "fax_number": "531-999-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 GOLD CIR STE 240",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442376",
            "telephone_number": "402-686-3168",
            "fax_number": "531-999-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWN TO EARTH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "HAZEL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-517-5285",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100263247-00",
            "state": "NE"
        }
    ],
    "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 Jul 19, 2024; 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.