Organization Active NPI

Stephanie Sorum LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1649746306
Registry record updated Oct 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STEPHANIE SORUM LLC
Practice address
17940 Welch PLZ Ste 106
Omaha, NE 68135-3714
Phone
(402) 819-7510
NPI assigned
Oct 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2018

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

Authorized official

Name
Stephanie Sorum, LIMHPNPI 1114351244
Title
Owner
Phone
(402) 819-7510

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

17940 Welch PLZ Ste 106
Omaha, NE 68135-3714

Mailing address

17940 Welch PLZ Ste 106
Omaha, NE 68135-3714
Phone (402) 819-7510

Other names 2

  • Aim Forward Counseling Doing business as
  • Stephanie Sorum Other name

National Provider Directory

National Provider Directory

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": "1540080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540080000000",
    "number": "1649746306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17940 WELCH PLZ STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353714",
            "telephone_number": "402-819-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 WELCH PLZ STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353714",
            "telephone_number": "402-819-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE SORUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-21",
        "last_updated": "2018-10-21",
        "status": "A",
        "authorized_official_last_name": "SORUM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-819-7510",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aim Forward Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stephanie Sorum",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.