Organization Active NPI

Councill Psychiatric Care Specialists

  • Adult Mental Health Clinic/Center
  • Papillion, NE
National Provider Identifier
1013457936
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
55568 Issued in NE
Legal business name
COUNCILL PSYCHIATRIC CARE SPECIALISTS
Practice address
1102 Roland Dr
Papillion, NE 68046-6167
Phone
(402) 676-9232
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph G Councill III, APRNNPI 1750704623
Title
Ceo
Phone
(402) 676-9232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 55568 NE Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 55568 NE

Addresses

Primary practice location

1102 Roland Dr
Papillion, NE 68046-6167

Mailing address

919 Galvin Rd S
Suite a
Bellevue, NE 68005-2286
Phone (402) 881-0678

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1013457936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 GALVIN RD S",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052286",
            "telephone_number": "402-881-0678",
            "fax_number": "402-625-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 ROLAND DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466167",
            "telephone_number": "402-676-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCILL PSYCHIATRIC CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "COUNCILL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-676-9232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NE",
            "license": "55568",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NE",
            "license": "55568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.