SUSAN M SHIELDS (LIMHP, LMHC) – Mental Health Counselor, NPI 1215480165
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
843 MENTAL HEALTH COUNSELOR in NE
Provider Addresses for SUSAN M SHIELDS (LIMHP, LMHC)
12035 Q St
Omaha, NE 681373542
Phone: (402) 991-0611
Type: Location
9430 Himebaugh Cir
Omaha, NE 681341600
Phone: (402) 651-3809
Type: Location
9430 HIMEBAUGH CIR
OMAHA, NE 681341600
Phone: (402) 651-3809
Type: Mailing
5115, F Street, Omaha, Douglas County, Nebraska, 68117, United States
OMAHA, NE 681172807
Phone:
Type: Mailing
409 KENYON RD STE C
FORT DODGE, IA 505015718
Phone: (712) 276-9000
Fax: (712) 276-4917
Type: Mailing
3112 W BROADWAY
COUNCIL BLUFFS, IA 515013310
Phone: (712) 276-9000
Fax: (712) 276-4917
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251212003530 | I | Mental Health Counselor | IA | TBD |
| I20251212003595 | I | Mental Health Counselor | NE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68137)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NE | |
| Mental Health Counselor | NE | |
| Marriage And Family Therapist | NE | |
| Nurse Practitioner | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NE | |
| - | KS | |
| Clinical Psychologist | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NE |
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