Revision Psychotherapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REVISION PSYCHOTHERAPY LLC

Practice address

1055 N 115TH St Ste 105
Omaha, NE 68154-4419

Phone

(402) 312-0919

NPI assigned

Jan 2, 2024

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laurelin Prinell Sterns, LIMHPNPI 1952890022

Title

Independent Mental Health Counselor

Phone

(402) 312-0919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

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.

• Laurelin Prinell Sterns, LIMHP

  • Counselor
  • Omaha, NE
  • NPI 1952890022

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1770353625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16655 DORA HAMANN PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162303",
            "telephone_number": "402-312-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 115TH ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544419",
            "telephone_number": "402-312-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVISION PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "STERNS",
        "authorized_official_first_name": "LAURELIN",
        "authorized_official_middle_name": "PRINELL",
        "authorized_official_title_or_position": "INDEPENDENT MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "402-312-0919",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.