Active NPI
Fireside Therapy Collective
- Mental Health Counselor
- Elkhorn, NE
National Provider Identifier
1740104249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FIRESIDE THERAPY COLLECTIVE
- Practice address
- 1017 S 192ND St Ste 1014
Elkhorn, NE 68022-3381 - Phone
- (402) 850-4755
- NPI assigned
- Aug 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey Aniello, LIMHP
- Title
- Owner
- Phone
- (402) 850-4755
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1017 S 192ND St Ste 1014
Elkhorn, NE 68022-3381
Mailing address
1017 S 192ND St Ste 1014
Elkhorn, NE 68022-3381
Phone (402) 850-4755
National Provider Directory
National Provider DirectoryLocations
1017 S 192nd St
Ste 1014
Elkhorn, NE 68022
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": "1785974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1740104249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 S 192ND ST STE 1014",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680223381",
"telephone_number": "402-850-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 S 192ND ST STE 1014",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680223381",
"telephone_number": "402-850-4755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRESIDE THERAPY COLLECTIVE",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "ANIELLO",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-850-4755",
"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": []
}
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.