Individual provider Active NPI

Stacey Lin Johnson, PLMHP

  • Mental Health Counselor
  • Hastings, NE
National Provider Identifier
1871004382
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11323 Issued in NE
Practice address
303 N Burlington Ave Ste C
Hastings, NE 68901-5085
Phone
(402) 834-0884
Fax
(888) 972-3670
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11323 NE Primary

Addresses

Primary practice location

303 N Burlington Ave Ste C
Hastings, NE 68901-5085

Mailing address

303 N Burlington Ave Ste C
Hastings, NE 68901-5085
Phone (402) 834-0884

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
I20240127000220 NE Practitioner - Mental Health Counselor 5193178036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jessica Hunt, Limhp, LLCGroup PAC ID 5597185173, 7 clinicians

Practice addresses (Care Compare)

1809 N Kansas Ave
Hastings, NE 68901-2604
Phone (402) 834-0884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11323NEMDMental Health Counselor
2558NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Hunt, Limhp, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

303 N Burlington Ave
Ste C
Hastings, NE 68901
Phone (402) 834-0884

1809 N Kansas Ave
Hastings, NE 68901
Phone (402) 834-0884

223 E 14th St
Ste 9
Hastings, NE 68901
Phone (402) 469-2248

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1871004382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N BURLINGTON AVE STE C",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015085",
            "telephone_number": "402-834-0884",
            "fax_number": "888-972-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N BURLINGTON AVE STE C",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015085",
            "telephone_number": "402-834-0884",
            "fax_number": "888-972-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACEY",
        "middle_name": "LIN",
        "name_prefix": "Mrs.",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.