Individual provider Active NPI

Deborah Boettcher Sheely

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1851757116
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4700 Issued in NE
Practice address
8101 O St
Suite 214
Lincoln, NE 68510-2646
Phone
(402) 488-1032
Fax
(402) 484-8545
NPI assigned
Jan 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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 4700 NE Primary
Mental Health Counselor 101YM0800X 2273 NE
Registered Nurse 163W00000X 42782 NE

Addresses

Primary practice location

8101 O St
Suite 214
Lincoln, NE 68510-2646

Mailing address

8101 O St
Suite 214
Lincoln, NE 68510-2646
Phone (402) 488-1032

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

State licenses

LicenseStateTypeSpecialty
2273NEMDCounselor
4700NEMDMental Health Counselor
42782NEMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1451606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1851757116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 O ST",
            "address_2": "SUITE 214",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102646",
            "telephone_number": "402-488-1032",
            "fax_number": "402-484-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 O ST",
            "address_2": "SUITE 214",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102646",
            "telephone_number": "402-488-1032",
            "fax_number": "402-484-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEELY",
        "first_name": "DEBORAH",
        "middle_name": "BOETTCHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-01",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4700",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2273",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "42782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.