Individual provider Active NPI

Heather E Clover-Allen, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1689929648
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1537 Issued in NE
Practice address
3677 N 129TH St
Omaha, NE 68164-5211
Phone
(402) 253-5765
Fax
(402) 939-0168
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 1537 NE Primary

Addresses

Primary practice location

3677 N 129TH St
Omaha, NE 68164-5211

Mailing address

3677 N 129TH St
Omaha, NE 68164-5211
Phone (402) 253-5765

Other names 1

  • Heather E Clover Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 2, 2024 through Sep 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1537NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1689929648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645211",
            "telephone_number": "402-253-5765",
            "fax_number": "402-939-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645211",
            "telephone_number": "402-253-5765",
            "fax_number": "402-939-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOVER-ALLEN",
        "first_name": "HEATHER",
        "middle_name": "E",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CLOVER",
            "middle_name": "E",
            "credential": "LIMHP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.