Individual provider Active NPI

Laurelin Prinell Sterns, LIMHP

  • Counselor
  • Omaha, NE
National Provider Identifier
1952890022
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1055 N 115TH St Ste 105
Omaha, NE 68154-4419
Phone
(402) 312-0919
NPI assigned
May 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1055 N 115TH St Ste 105
Omaha, NE 68154-4419

Mailing address

1055 N 115TH St Ste 105
Omaha, NE 68154-4419
Phone (402) 312-0919

Other identifiers 1

IdentifierTypeStateIssuer
10025851800MedicaidNE

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
I20240926000643 NE Practitioner - Mental Health Counselor 4082147228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1055 N 115TH St
Suite 105
Omaha, NE 68154-4419
Phone (402) 915-0516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revision Psychotherapy LLC Mental Health CurrentSince Aug 10, 2024 Accepting new patients
Healing Tree Counseling Mental Health Past Accepting new patients

Locations

1055 N 115th St
Ste 105
Omaha, NE 68154
Phone (402) 915-0516

Organizations & group practices 2

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": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1952890022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 115TH ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544419",
            "telephone_number": "402-312-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 115TH ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544419",
            "telephone_number": "402-312-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNS",
        "first_name": "LAURELIN",
        "middle_name": "PRINELL",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025851800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.