Matthew Bryan Fenn
Counselor, Mental Health in Omaha, NE. Individual provider (NPI-1).
NPI number1235856477
StatusActive
Last updated in NPPESMar 12, 2026
Details
- NPI
- 1235856477
- Entity type
- Individual (NPI-1)
- Name
- Matthew Bryan Fenn
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2022
- Certification date
- Mar 12, 2026
- Last updated
- Mar 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 13212 | NE | Yes |
Practice location
601 S 80th StOmaha, NE 68114-5301
Phone 402-965-1877
Mailing address
601 S 80th StOmaha, NE 68114-5301
Phone 402-516-4775
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