CMS-1500 Box 24J / 33a • NPI
1649075995
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103TE1100X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports
Box 32 Service Location & ZIP+4
84099 533 AVE, TILDEN, NE, 68781-4762
✓ 9-Digit EDI 837 ZIP+4 (68781-4762)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1649075995 (JANET M. HENSELEIT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1649075995 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JANET M. HENSELEIT |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports NUCC Code: 103TE1100X (Psychologist, Exercise & Sports) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 84099 533 AVE, TILDEN, NE, 68781-4762 |
| Practice Telephone / Fax | Tel: (402) 640-1116 |
| Administrative Mailing Address | 84099 533 AVE, TILDEN, NE, 68781-4762 |
| Enumeration & Last Sync | Enumerated: 2025-02-19 | CMS Record Updated: 2025-02-19 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103TE1100X)
What Does Taxonomy Code 103TE1100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TE1100X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JANET M. HENSELEIT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103TE1100X — Psychologist, Exercise & SportsPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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