MR. MICHAEL DALE PELLA LMHP NPI 1710186382

NPI Information

NPI: 1710186382
Provider Name: MR. MICHAEL DALE PELLA, LMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
3600 VILLAGE DRIVE SUITE 110
LINCOLN, NE
ZIP 68516
Phone: (402) 875-9270
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MR. Michael Dale Pella, LMHP is a mental health counselor in Lincoln, NE. MR. Michael Dale Pella, LMHP NPI is 1710186382. 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:

3600 VILLAGE DRIVE SUITE 110
LINCOLN, NE
ZIP 68516-631
Phone: (402) 875-9270
Fax: (402) 875-9272

The NPI 1710186382 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 2/15/2012.

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	101YM0800X	Counselor	Mental Health	2075	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	10024982600	MEDICAID	NEBRASKA
2	47084125026	MEDICAID	NEBRASKA
3	82592	OTHER	NEBRASKA	BCBS

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: 4/28/2024

NPI Synchronization or Removal

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