Individual provider Active NPI

Alyssa Marie Vice, LIMHP, CMSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1740711746
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6200 Issued in NE
Practice address
13917 Gold Cir
Omaha, NE 68144-2359
Phone
(402) 276-5860
NPI assigned
Mar 22, 2017
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6200 NE Primary
Clinical Social Worker 1041C0700X 2428 NE
Clinical Social Worker 1041C0700X 3077 NE

Addresses

Primary practice location

13917 Gold Cir
Omaha, NE 68144-2359

Mailing address

13917 Gold Cir
Omaha, NE 68144-2359
Phone (402) 276-5860

Other names 1

  • Alyssa Marie Stankoski 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
I20250102003312 NE Practitioner - Mental Health Counselor 5698202661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essential Life Tools LLCGroup PAC ID 8729445051, 2 clinicians

Practice addresses (Care Compare)

51199 S Juniper Rd
Genoa, NE 68640-5503
Phone (402) 285-2629

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6200NEMDNeurology Physician
2428NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Life Tools LLC Clinical CurrentSince Dec 28, 2024 Accepting new patients
Better Living Counseling Services, Inc. PastSince Feb 1, 2021 Accepting new patients

Locations

2620 23rd St
Ste B
Columbus, NE 68601
Phone (402) 366-9362

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1740711746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13917 GOLD CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442359",
            "telephone_number": "402-276-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13917 GOLD CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442359",
            "telephone_number": "402-276-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICE",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "LIMHP, CMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "6200",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2428",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "3077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "STANKOSKI",
            "middle_name": "MARIE",
            "credential": "PLMHP, CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.