Individual provider Active NPI

Vanessa A Suarez, MA, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Lincoln, NE
National Provider Identifier
1780006296
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1302 Issued in NE
Practice address
4719 Prescott Ave
Lincoln, NE 68506-5456
Phone
(402) 413-9147
Fax
(402) 261-7149
NPI assigned
Jan 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1302 NE Primary

Addresses

Primary practice location

4719 Prescott Ave
Lincoln, NE 68506-5456

Mailing address

3121 S 37TH St
Lincoln, NE 68506-6106
Phone (402) 416-2118

Other identifiers 1

IdentifierTypeStateIssuer
470398819MedicaidNE

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
I20240723003763 NE Practitioner - Other (Non-Physician) 2668918996 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1302NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Centers LLC Addiction (Substance Use Disorder) CurrentSince May 17, 2024 Accepting new patients

Locations

4719 Prescott Ave
Lincoln, NE 68506
Phone (402) 235-8184

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1780006296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 S 37TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066106",
            "telephone_number": "402-416-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 PRESCOTT AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065456",
            "telephone_number": "402-413-9147",
            "fax_number": "402-261-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "VANESSA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MA, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470398819",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.