Individual provider Active NPI

Marcia Luann Estrada, LIMHP, LADC

  • Counselor
  • Scottsbluff, NE
National Provider Identifier
1780733766
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
689 Issued in NE
Practice address
416 Valley View Dr Ste 311
Scottsbluff, NE 69361-1420
Phone
(308) 631-6129
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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 689 NE
Counselor 101Y00000X 689 NE Primary

Addresses

Primary practice location

416 Valley View Dr Ste 311
Scottsbluff, NE 69361-1420

Mailing address

1509 1St Ave
Scottsbluff, NE 69361-3106
Phone (308) 635-2256

Other practice location 1

1509 1st Ave
Scottsbluff, NE 69361-3106
Phone (308) 635-1488

Other identifiers 1

IdentifierTypeStateIssuer
10026260000MedicaidNE

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
I20240701001160 NE Practitioner - Mental Health Counselor 4183168297 Reassigns benefits to 1 organization
Practice locations: Scottsbluff, NE

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cirrus House Inc 2 clinicians

Practice addresses (Care Compare)

1509 1St Ave
Scottsbluff, NE 69361-3106
Phone (308) 635-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
689NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cirrus House, Inc. CurrentSince Sep 15, 2024 Accepting new patients
Cirrus House Inc. CurrentSince Sep 15, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1780733766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 1ST AVE",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693613106",
            "telephone_number": "308-635-2256",
            "fax_number": "308-635-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 VALLEY VIEW DR STE 311",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611420",
            "telephone_number": "308-631-6129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693613106",
            "country_code": "US",
            "telephone_number": "308-635-1488",
            "fax_number": "308-635-1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "MARCIA",
        "middle_name": "LUANN",
        "credential": "LIMHP, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "689",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026260000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.