Individual provider Active NPI

Sarah Spellbrink, LIMHP

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1659455004
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
933 Issued in NE
Practice address
312 N Elm St Ste 115
Grand Island, NE 68801
Phone
(308) 379-6932
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 933 NE Primary

Addresses

Primary practice location

312 N Elm St Ste 115
Grand Island, NE 68801

Mailing address

4066 David Ave
Grand Island, NE 68803-1112
Phone (308) 379-6932

Other practice location 1

3532 W Capital Ave
Grand Island, NE 68803-1205
Phone (308) 381-7487

Other names 1

  • Mrs. Sarah Wald Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226003347 NE Practitioner - Mental Health Counselor 4284079658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
933NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Spellbrink Counseling, P.C. CurrentSince Jan 2, 2024 Accepting new patients
Family Resources of Greater Nebraska PC Mental Health PastSince Oct 1, 2000 Accepting new patients
Alivation Health, LLC Past Accepting new patients

Locations

312 N Elm St
Ste 115
Grand Island, NE 68801
Phone (308) 379-6932

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1659455004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 DAVID AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031112",
            "telephone_number": "308-379-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N ELM ST STE 115",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "68801",
            "telephone_number": "308-379-6932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3532 W Capital Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688031205",
            "country_code": "US",
            "telephone_number": "308-381-7487",
            "fax_number": "308-381-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPELLBRINK",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WALD",
            "prefix": "MRS.",
            "credential": "LIMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.