HOMEBASE COUNSELING & CONSULTING LLC NPI 1154510394

NPI Information

NPI: 1154510394
Provider Name: HOMEBASE COUNSELING & CONSULTING, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2001 N 35TH ST
OMAHA, NE
ZIP 68111
Phone: (615) 853-1254
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HOMEBASE COUNSELING & CONSULTING, LLC is a mental health counselor in Omaha, NE. HOMEBASE COUNSELING & CONSULTING, LLC NPI is 1154510394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2001 N 35TH ST
OMAHA, NE
ZIP 68111-133
Phone: (615) 853-1254

The provider's authorized official is Justin M Mickles .
The authorized official title is Owner/mental Health Therapist and has the following contact phone number (615) 853-1254.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 9/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health	1485	NEBRASKA	No
3	101YM0800X	Counselor	Mental Health	57	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10025595100	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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