Active NPI
Trauma Therapy Specialties
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1003152463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- #538
- Legal business name
- TRAUMA THERAPY SPECIALTIES
- Practice address
- 11330 Q St
Ste # 219
Omaha, NE 68137-3679 - Phone
- (402) 490-3672
- Fax
- (402) 597-2349
- NPI assigned
- Dec 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborah L Winckler, M.S., LPC, BCETS
- Title
- Ceo
- Phone
- (402) 490-3672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | #538 | NE | Primary |
Addresses
Primary practice location
11330 Q St
Ste # 219
Omaha, NE 68137-3679
Mailing address
11330 Q St
Ste # 219
Omaha, NE 68137-3679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025614700 | Medicaid | NE |
Other names 1
- Deborah L. Winckler
National Provider Directory
National Provider DirectoryLocations
11330 Q St
Ste 219
Omaha, NE 68137
Phone (402) 490-3672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355270400000",
"number": "1003152463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11330 Q ST",
"address_2": "STE # 219",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11330 Q ST",
"address_2": "STE # 219",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373679",
"telephone_number": "402-490-3672",
"fax_number": "402-597-2349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAUMA THERAPY SPECIALTIES",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-12",
"last_updated": "2012-12-12",
"status": "A",
"authorized_official_last_name": "WINCKLER",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "402-490-3672",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S., LPC, BCETS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "#538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025614700",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Deborah L. Winckler",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.