Provider Demographics
NPI:1730657065
Name:DEARINGER, HEATHER (LIMHP, LMHC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:DEARINGER
Suffix:
Gender:F
Credentials:LIMHP, LMHC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:SAMUELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3803 N 153RD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-5176
Mailing Address - Country:US
Mailing Address - Phone:402-672-0913
Mailing Address - Fax:
Practice Address - Street 1:3803 N 153RD ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-5176
Practice Address - Country:US
Practice Address - Phone:402-672-0913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2263101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE2263OtherLICENSED INDEPENDENT MENTAL HEALTH PRACTITIONER