Active NPI
Teresa C Drelicharz, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1013092790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 921
- Practice address
- 333 S. 132Rd St.
Omaha, NE 68154 - Phone
- (402) 330-2024
- Fax
- (402) 697-7019
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2009 | NE | |
| Mental Health Counselor | 101YM0800X | 921 | NE | Primary |
Addresses
Primary practice location
333 S. 132Rd St.
Omaha, NE 68154
Mailing address
333 S. 132Rd St.
Omaha, NE 68154
Phone (402) 330-2024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233104 | Other | NE | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 921 | NE | MD | Optometrist |
| 2009 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1013092790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S. 132RD ST.",
"city": "OMAHA",
"state": "NE",
"postal_code": "68154",
"telephone_number": "402-330-2024",
"fax_number": "402-697-7019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S. 132RD ST.",
"city": "OMAHA",
"state": "NE",
"postal_code": "68154",
"telephone_number": "402-330-2024",
"fax_number": "402-697-7019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRELICHARZ",
"first_name": "TERESA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LIMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2009",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "233104",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}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 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.