Individual provider Active NPI

Tera Lynn Newcombe

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1972006856
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1203 S 8TH St
Norfolk, NE 68701-5875
Phone
(402) 371-0220
NPI assigned
Mar 16, 2018
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-2094 NE
Mental Health Counselor 101YM0800X NU Primary
Peer Specialist 175T00000X NU

Addresses

Primary practice location

1203 S 8TH St
Norfolk, NE 68701-5875

Mailing address

910 W Park Ave
Norfolk, NE 68701-5044
Phone (402) 371-0220

Other practice location 1

910 W Park Ave
Norfolk, NE 68701-5044
Phone (402) 371-0220

Other practice location 2

200 S 13th St
Norfolk, NE 68701-4951
Phone (402) 371-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P-2094NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Well NE Addiction (Substance Use Disorder) Past Accepting new patients

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, 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": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1972006856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W PARK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015044",
            "telephone_number": "402-371-0220",
            "fax_number": "402-644-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S 8TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015875",
            "telephone_number": "402-371-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687015044",
            "country_code": "US",
            "telephone_number": "402-371-0220",
            "fax_number": "402-644-4593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S 13th St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687014951",
            "country_code": "US",
            "telephone_number": "402-371-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWCOMBE",
        "first_name": "TERA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-2094",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.