NPIMap

Organization Active NPI

Heartland Family Service

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
National Provider Identifier
1750559332
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10025597400 Issued in NE
Legal business name
HEARTLAND FAMILY SERVICE
Practice address
4847 Sahler St
Omaha, NE 68104-5203
Phone
(402) 342-9555
NPI assigned
Feb 15, 2008
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Sally Wunderlich
Title
Executive Asst.
Phone
(402) 552-7446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10025597400 NE Primary
Mental Health Counselor 101YM0800X 10025597400 NE

Addresses

Primary practice location

4847 Sahler St
Omaha, NE 68104-5203

Mailing address

2101 S 42ND St
Omaha, NE 68105-2947
Phone (402) 553-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000174 NE Part B Supplier - Clinic/Group Practice 7315833506 Receives reassigned benefits from 27 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Omaha, NE; Papillion, NE

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Family Service21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

4847 Sahler St
Omaha, NE 68104
Phone (402) 342-9555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1750559332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052947",
            "telephone_number": "402-553-3000",
            "fax_number": "402-552-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 SAHLER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681045203",
            "telephone_number": "402-342-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FAMILY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "WUNDERLICH",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "EXECUTIVE ASST.",
        "authorized_official_telephone_number": "402-552-7446"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "10025597400",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10025597400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.