Individual provider Active NPI

Elizabeth Jane Shields

  • Mental Health Counselor
  • Bennington, NE
National Provider Identifier
1679246599
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3905 Issued in NE
Practice address
15821 N 2ND St
Bennington, NE 68007-7424
Phone
(402) 217-6880
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 3905 NE Primary

Addresses

Primary practice location

15821 N 2ND St
Bennington, NE 68007-7424

Mailing address

15821 N 2ND St
Bennington, NE 68007-7424
Phone (402) 217-6880

Other practice location 1

15821 N 2nd St
Bennington, NE 68007-7424
Phone (402) 217-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3905NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soulful Living Counseling LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

11640 Arbor St
Ste 101
Omaha, NE 68144
Phone (402) 651-5621

Organizations & group practices 1

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1679246599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 N 2ND ST",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680077424",
            "telephone_number": "402-217-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15821 N 2ND ST",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680077424",
            "telephone_number": "402-217-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15821 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "NE",
            "postal_code": "680077424",
            "country_code": "US",
            "telephone_number": "402-217-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.