NPIMap

Organization Active NPI

Immaculate Heart of Mary Counseling Center

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1982618328
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
IMMACULATE HEART OF MARY COUNSELING CENTER
Doing business as
Immaculate Heart of Mary Counseling Center
Practice address
3700 Sheridan Blvd
Ste 1
Lincoln, NE 68506-6100
Phone
(402) 489-1834
Fax
(402) 489-2046
NPI assigned
Jul 29, 2006
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Dr. Courtney K Miller, PH.D.NPI 1699789768
Title
Director of Clinical Services
Phone
(402) 489-1834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3700 Sheridan Blvd
Ste 1
Lincoln, NE 68506-6100

Mailing address

8055 O St Ste 301
Lincoln, NE 68510-2564
Phone (402) 489-1834

Other identifiers 1

IdentifierTypeStateIssuer
10026870000MedicaidNE

Other names 1

  • Immaculate Heart of Mary Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231019003707 NE Part B Supplier - Clinic/Group Practice 8628424181 Receives reassigned benefits from 8 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

1020 Central Ave
Auburn, NE 68305

1820 Fulton St
Falls City, NE 68355

301 W 7th St
Hastings, NE 68901
Phone (402) 984-3955

333 W 2nd St
Hastings, NE 68901
Phone (402) 463-2112

320 N 16th St
Lincoln, NE 68508

3700 Sheridan Blvd
Ste 1
Lincoln, NE 68506

8055 O St
Ste 301
Lincoln, NE 68510
Phone (402) 798-1304

520 S 18th St
Plattsmouth, NE 68048

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1982618328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 O ST STE 301",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102564",
            "telephone_number": "402-489-1834",
            "fax_number": "402-489-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SHERIDAN BLVD",
            "address_2": "STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066100",
            "telephone_number": "402-489-1834",
            "fax_number": "402-489-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HEART OF MARY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "402-489-1834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026870000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immaculate Heart of Mary Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.