Individual provider Active NPI

Eleanor A Fields, MS, LPC, LIMHP

  • Professional Counselor
  • Omaha, NE
National Provider Identifier
1740395144
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1610 Issued in NE
Practice address
638 N 109TH PLZ
Omaha, NE 68154-1722
Phone
(402) 403-0190
Fax
(402) 932-4121
NPI assigned
Aug 19, 2006
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 42 NE
Professional Counselor 101YP2500X 1610 NE Primary

Addresses

Primary practice location

638 N 109TH PLZ
Omaha, NE 68154-1722

Mailing address

638 N 109TH PLZ
Omaha, NE 68154-1722
Phone (402) 403-0190

Other names 1

  • Ellie A Fields Professional 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
I20240710004936 NE Practitioner - Mental Health Counselor 5890018592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attachment and Trauma Center of Nebraska LLCGroup PAC ID 5092879148, 12 clinicians

Practice addresses (Care Compare)

638 N 109TH PLZ
Omaha, NE 68154-1722
Phone (402) 403-0190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Attachment and Trauma Center of Nebraska, LLC Mental Health CurrentSince Apr 22, 2024 Accepting new patients

Locations

638 N 109th Plz
Omaha, NE 68154
Phone (402) 403-0190

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1740395144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 N 109TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541722",
            "telephone_number": "402-403-0190",
            "fax_number": "402-932-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 N 109TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541722",
            "telephone_number": "402-403-0190",
            "fax_number": "402-932-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "ELEANOR",
        "middle_name": "A",
        "credential": "MS, LPC, LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "42",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "FIELDS",
            "middle_name": "A",
            "credential": "MS, LPC, LIMHP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.