MATTHEW BRYAN FENN NPI 1235856477

NPI Information

  • NPI: 1235856477
  • Provider Name: MATTHEW BRYAN FENN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 415 S 25TH AVE
    OMAHA, NE
    ZIP 68131
  • Phone: (402) 717-5300

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NPI Details

Matthew Bryan Fenn is a mental health counselor in Omaha, NE. Matthew Bryan Fenn NPI is 1235856477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 S 25TH AVE
OMAHA, NE
ZIP 68131-630
Phone: (402) 717-5300

The enumeration date for this NPI number is 10/27/2022 and was last updated on 2/17/2023.

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
1101YM0800XCounselorMental Health13212NEBRASKAYes

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: 3/30/2025

NPI Synchronization or Removal

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