Joseph Brent Suchanic, MA,LIMHP, LMFT, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3647 Issued in NE

Practice address

12110 Port Grace Blvd Ste 101
La Vista, NE 68128-3190

Phone

(402) 630-6421

NPI assigned

Mar 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dymphna Holdings IncGroup PAC ID 1254863442, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Dymphna Holdings, Inc.

  dba Ellie Mental Health

  • Mental Health Counselor
  • La Vista, NE
  • NPI 1306681861
  Medicare reassignment Care Compare group NPD
• Proactive Training and Consulting LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1730076860
  NPD Authorized official
• Guided Healing Trails LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Missoula, MT
  • NPI 1033678396

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1871052134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11014 WESTOVER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543223",
            "telephone_number": "406-304-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 PORT GRACE BLVD STE 101",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283190",
            "telephone_number": "402-630-6421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 South Ave W Ste B",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598018011",
            "country_code": "US",
            "telephone_number": "406-285-1345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Higgins Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024550",
            "country_code": "US",
            "telephone_number": "406-285-1345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUCHANIC",
        "first_name": "JOSEPH",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "MA,LIMHP, LMFT, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-17",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "40038",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3647",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-PCLC-LIC-32427M",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Stirewalt
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• Lindsay Struble
• Rachel Stutheit, FNP
• Emily M Summers
• Summit Dental Associates (Rainbow Dental Center)
• Summit Dental Health - Brentwood LLC
• Jay Swanson
• Nevaeh Sunshine Synhorst

• Mental Health Counselor in La Vista, NE
• Providers in La Vista, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.