Individual provider Active NPI

Brenda S Orlando, LICSW, LISW

  • Mental Health Counselor
  • South Sioux City, NE
National Provider Identifier
1780942920
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1105 Issued in NE
Practice address
1201 Arbor Drive
South Sioux City, NE 68776-2652
Phone
(402) 494-3337
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 1105 NE Primary
Social Worker 104100000X 1568 NE
Clinical Social Worker 1041C0700X 007229 IA

Addresses

Primary practice location

1201 Arbor Drive
South Sioux City, NE 68776-2652

Mailing address

PO Box 355
South Sioux City, NE 68776-0355
Phone (402) 494-3337

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
I20150511001657 NE Practitioner - Clinical Social Worker 7618296807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1105NEMDCounselor
007229IAMDClinical Social Worker
1568NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Counseling Services, Inc. CurrentSince May 12, 2015 Accepting new patients
Heartland Counseling Services.Inc. CurrentSince May 12, 2015 Accepting new patients

Locations

938 E Zero St
Ainsworth, NE 69210
Phone (402) 387-1900

221 W Douglas St
Oneill, NE 68763
Phone (402) 336-2800

917 W 21st St
South Sioux City, NE 68776
Phone (402) 494-7655

1201 Arbor Dr
South Sioux City, NE 68776

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1780942920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687760355",
            "telephone_number": "402-494-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARBOR DRIVE",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762652",
            "telephone_number": "402-494-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLANDO",
        "first_name": "BRENDA",
        "middle_name": "S",
        "credential": "LICSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1105",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1568",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

Verify at the official NPI Registry.