Omaha Mental Health LLC
Counselor, Mental Health in Omaha, NE. Organization (NPI-2).
NPI number1164023321
StatusActive
Last updated in NPPESNov 4, 2020
Details
- NPI
- 1164023321
- Entity type
- Organization (NPI-2)
- Legal business name
- Omaha Mental Health LLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2020
- Certification date
- Nov 4, 2020
- Last updated
- Nov 4, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
12305 Gold St Ste 13Omaha, NE 68144-2760
Phone 402-709-1496
Mailing address
12305 Gold St Ste 13Omaha, NE 68144-2760
Phone 402-709-1496
Authorized official
Sergio Matt Palomo
Owner
4027091496
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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