Organization Active NPI

Trauma Therapy Specialties

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1003152463
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
#538 Issued in NE
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

Updated by the provider on Dec 12, 2012

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
10025614700MedicaidNE

Other names 1

  • Deborah L. Winckler Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.