Individual provider Active NPI

Hollie J Urbauer, M.A.,LMHP, LADC, LPC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1619040862
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11019 Issued in NE
Practice address
5561 S 48TH St Ste 201I
Lincoln, NE 68516-4133
Phone
(402) 310-8323
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11019 NE Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 776 NE

Addresses

Primary practice location

5561 S 48TH St Ste 201I
Lincoln, NE 68516-4133

Mailing address

5561 S 48TH St Ste 201I
Lincoln, NE 68516-4133
Phone (402) 310-8323

Other identifiers 1

IdentifierTypeStateIssuer
1528006103MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 27, 2026 through May 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
776NEMDAddiction (Substance Use Disorder) Counselor
11019NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanctuary Psychotherapy and Wellness, LLC CurrentSince Apr 5, 2020 Accepting new patients
Bryan Medical Center Addiction (Substance Use Disorder) Past Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

5561 S 48th St
Ste 201I
Lincoln, NE 68516
Phone (402) 310-8323

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1619040862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 S 48TH ST STE 201I",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164133",
            "telephone_number": "402-310-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5561 S 48TH ST STE 201I",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164133",
            "telephone_number": "402-310-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAUER",
        "first_name": "HOLLIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.A.,LMHP, LADC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11019",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "776",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528006103",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.