Amy Jo Hernbloom

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5229 Issued in NE

Practice address

14092 Hospital Road
Boys Town, NE 68010

Phone

(531) 355-5200

NPI assigned

Aug 22, 2017

Last updated

Mar 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1649796673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14092 HOSPITAL ROAD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "68010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14092 HOSPITAL ROAD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "68010",
            "telephone_number": "531-355-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNBLOOM",
        "first_name": "AMY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10968",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Hastreiter, APRN BC
• Ellen Alexandra Hatala, AU.D.
• Lindsey J Hauser, PSYD
• Angela Kay Hayden, LMHP
• Isabella Herman, MD, PHD
• Carrie Ab Hoarty, MD
• Jennifer Inbarasu, M.D.
• Sara Lynn Irwin, LMHP, PLADC
• Natalie Marie Jensen, PHD, LP
• Mark Layne Jenson, M.D.

• Mental Health Counselor in Boys Town, NE
• Providers in Boys Town, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.