Individual provider Active NPI

Nicole Heller, MS, EDS, BCBA

  • School Psychologist
  • Elkhorn, NE
National Provider Identifier
1801775754
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
20240003311 Issued in NE
Practice address
20650 Glenn St
Elkhorn, NE 68022-2324
Phone
(402) 289-2579
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 20240003311 NE Primary

Addresses

Primary practice location

20650 Glenn St
Elkhorn, NE 68022-2324

Mailing address

20650 Glenn St
Elkhorn, NE 68022-2324
Phone (402) 289-2579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20240003311NEMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elkhorn Public Schools CurrentSince Sep 3, 2025 Accepting new patients

Locations

20650 Glenn St
Elkhorn, NE 68022
Phone (402) 289-0616

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": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1801775754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20650 GLENN ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222324",
            "telephone_number": "402-289-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20650 GLENN ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222324",
            "telephone_number": "402-289-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "NICOLE",
        "credential": "MS, EDS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NE",
            "license": "20240003311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.