Active NPI
Councill Psychiatric Care Specialists
- Adult Mental Health Clinic/Center
- Papillion, NE
National Provider Identifier
1013457936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 55568
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph G Councill III, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bellevue, NE
- NPI 1750704623
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.