NPIMap

Organization Active NPI

Focus C3, PC

  • Mental Health Counselor
  • La Vista, NE
National Provider Identifier
1831643964
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FOCUS C3, PC
Practice address
10748 Virginia PLZ
Suite 107
La Vista, NE 68128-3204
Phone
(402) 933-4411
Fax
(888) 507-5931
NPI assigned
Aug 5, 2016
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Amanda J Hebner, PLMHPNPI 1710232608
Title
President
Phone
(402) 933-4411

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

10748 Virginia PLZ
Suite 107
La Vista, NE 68128-3204

Mailing address

10748 Virginia PLZ
Suite107
Lavista, NE 68128-3204
Phone (402) 933-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190731002136 NE Part B Supplier - Clinic/Group Practice 6103152947 Receives reassigned benefits from 23 practitioners
Practice locations: La Vista, NE; Omaha, NE

National Provider Directory

National Provider Directory

Locations

10748 Virginia Plz
Ste 107
Lavista, NE 68128
Phone (402) 933-4411

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1831643964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10748 VIRGINIA PLZ",
            "address_2": "SUITE107",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "681283204",
            "telephone_number": "402-933-4411",
            "fax_number": "888-507-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10748 VIRGINIA PLZ",
            "address_2": "SUITE 107",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283204",
            "telephone_number": "402-933-4411",
            "fax_number": "888-507-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS C3, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2022-03-01",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "HEBNER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-933-4411",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.