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MIDWEST MENTAL HEALTH THERAPY PC NPI 1679183255


NPI Information

NPI: 1679183255
Provider Name: MIDWEST MENTAL HEALTH THERAPY, PC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 28D2164500

Address:
13304 W CENTER RD STE 110
OMAHA, NE
ZIP 68144
Phone: (402) 577-0271
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MIDWEST MENTAL HEALTH THERAPY, PC is a mental health counselor in Omaha, NE. MIDWEST MENTAL HEALTH THERAPY, PC NPI is 1679183255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13304 W CENTER RD STE 110
OMAHA, NE
ZIP 68144-453
Phone: (402) 577-0271

The provider's authorized official is Kerrie Wellman .
The authorized official title is Clinical Therapist and has the following contact phone number (402) 659-6941.

The CLIA number assigned to this NPI record is 28D2164500 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2020 and was last updated on 8/7/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.