Individual provider Active NPI

Staci Huston, PCP, LIMHP

  • Mental Health Counselor
  • Fremont, NE
National Provider Identifier
1922519206
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2740 N Clarkson St
Fremont, NE 68025-7702
Phone
(402) 721-0951
Fax
(402) 564-0611
NPI assigned
Oct 13, 2017
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2933 NE
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2740 N Clarkson St
Fremont, NE 68025-7702

Mailing address

4321 41St Ave
Columbus, NE 68601-2131
Phone (402) 562-8955

Other practice location 1

3532 W Capital Ave
Grand Island, NE 68803-1205
Phone (308) 381-7487

Other practice location 2

4321 41st Ave
Columbus, NE 68601-2131
Phone (402) 562-7500

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
I20240123002724 NE Practitioner - Mental Health Counselor 6901271188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2740 N Clarkson St
Fremont, NE 68025-7702
Phone (402) 721-0951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology West, PC CurrentSince Jan 12, 2026 Accepting new patients
Family Resources of Greater Nebraska PC Mental Health CurrentSince Dec 1, 2020 Accepting new patients
Good Neighbor Community Health Center CurrentSince Jan 1, 2024 Accepting new patients
Oncology Hematology West, PC CurrentSince Jan 12, 2026 Accepting new patients
Good Neighbor Community Health Center Past Accepting new patients
Alivation Health, LLC PastSince Dec 1, 2020 Accepting new patients
Good Neighbor Community Health Center Past Accepting new patients

Locations

4321 41st Ave
Columbus, NE 68601
Phone (402) 562-7500

2740 N Clarkson St
Fremont, NE 68025
Phone (402) 721-0090

3532 W Capital Ave
Grand Island, NE 68803
Phone (308) 381-7487

17201 Wright St
Ste 200
Omaha, NE 68130
Phone (402) 334-4773

7500 Mercy Rd
#1300
Omaha, NE 68124
Phone (402) 393-3110

8303 Dodge St
Ste 250
Omaha, NE 68114
Phone (402) 334-4773

Interoperability endpoints

  • Direct secure messaging: staci.huston.p1@direct.goodneighbor.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1922519206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 41ST AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012131",
            "telephone_number": "402-562-8955",
            "fax_number": "402-564-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257702",
            "telephone_number": "402-721-0951",
            "fax_number": "402-564-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3532 W Capital Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688031205",
            "country_code": "US",
            "telephone_number": "308-381-7487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4321 41st Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NE",
            "postal_code": "686012131",
            "country_code": "US",
            "telephone_number": "402-562-7500",
            "fax_number": "402-564-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "STACI",
        "credential": "PCP, LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2933",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.