Organization Active NPI

Homestead Counseling LLC

  • Mental Health Counselor
  • North Platte, NE
National Provider Identifier
1821844200
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOMESTEAD COUNSELING LLC
Practice address
720 N Jeffers St
North Platte, NE 69101-3021
Phone
(308) 520-4863
NPI assigned
Apr 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Gwendolyn D Bergstrom, LIMHPNPI 1629256706
Title
Owner
Phone
(308) 520-4863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

720 N Jeffers St
North Platte, NE 69101-3021

Mailing address

6459 S Homestead Rd
North Platte, NE 69101-6979
Phone (308) 520-4863

National Provider Directory

National Provider Directory

Locations

720 N Jeffers St
North Platte, NE 69101
Phone (308) 520-4863

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1821844200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6459 S HOMESTEAD RD",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016979",
            "telephone_number": "308-520-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N JEFFERS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691013021",
            "telephone_number": "308-520-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "BERGSTROM",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-520-4863",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.