Individual provider Active NPI

Stephanie Decowski, LMHP

  • Mental Health Counselor
  • Scottsbluff, NE
National Provider Identifier
1922557388
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11026 Issued in NE
Practice address
1811 Avenue a
Scottsbluff, NE 69361-2448
Phone
(308) 641-8409
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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 11026 NE Primary

Addresses

Primary practice location

1811 Avenue a
Scottsbluff, NE 69361-2448

Mailing address

1811 Avenue a
Scottsbluff, NE 69361-2448

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
I20231220003193 NE Practitioner - Mental Health Counselor 5597115261 Reassigns benefits to 1 organization

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
Community Action Partnership of Western NebraskaGroup PAC ID 2860399714, 18 clinicians

Practice addresses (Care Compare)

3350 10TH St
Gering, NE 69341-1724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11026NEMDMental Health Counselor
3099NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Partnership of Western Nebraska CurrentSince Jan 1, 2024 Accepting new patients

Locations

975 Crescent Dr
Gering, NE 69341
Phone (308) 632-2540

3350 10th St
Gering, NE 69341
Phone (308) 632-2540

Interoperability endpoints

  • Direct secure messaging: stephanie.decowski.p1@direct.capwn.nextgenshare.com

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": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1922557388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 AVENUE A",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 AVENUE A",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612448",
            "telephone_number": "308-641-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOWSKI",
        "first_name": "STEPHANIE",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.