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Organization Active NPI

Douglas County Nebraska

Doing business as Douglas County Community Mental Health Center

  • Psychiatric Hospital
  • Omaha, NE
National Provider Identifier
1023019718
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
260006 Issued in NE
Legal business name
DOUGLAS COUNTY NEBRASKA
Doing business as
Douglas County Community Mental Health Center
Practice address
4102 Woolworth Ave
Omaha, NE 68105-1899
Phone
(402) 444-7608
NPI assigned
Aug 3, 2005
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Mrs. Sherry L Driver, LIMHPNPI 1588970362
Title
Director
Phone
(402) 444-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Psychiatric Hospital 283Q00000X 260006 NE Primary
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

4102 Woolworth Ave
Omaha, NE 68105-1899

Mailing address

4102 Woolworth Ave
Omaha, NE 68105-1899
Phone (402) 444-7608

Other practice location 1

1490 N 16th St
Omaha, NE 68102-4101
Phone (402) 444-1978

Other practice location 2

1709 Jackson St
Omaha, NE 68102-2513
Phone (402) 599-2713

Other identifiers 3

IdentifierTypeStateIssuer
0074OtherNEBC/BS PSYCH
10025788600MedicaidNE
5380038OtherNEUHC PSYCH

Other names 1

  • Douglas County Community Mental Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031212000853 NE Part B Supplier - Clinic/Group Practice 3375440936 Receives reassigned benefits from 24 practitioners
2 other NPIs on this enrollment
Practice locations: Omaha, NE
O20070417000000 NE Part A Provider - Hospital 3375440936 Practice locations: Omaha, NE

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1023019718. Details of each certification follow.

Hospital certification: CCN 284009

Legal name
DOUGLAS COUNTY NEBRASKA
Doing business as
DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 6, 2002
Last certification
Jan 22, 2008
Beds
30
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
4102 Woolworth Ave
Omaha, NE 68105-1899
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Hospital certification: CCN 280010

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DOUGLAS COUNTY HEALTH CENTER
Certification status
Terminated Voluntary: merger or closure, Mar 6, 2002
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 2, 1999
Beds
37
Ownership / control type
Local
Facility address
4102 Woolworth Ave
Omaha, NE 68105

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Douglas County Community Mental Health CenterCCN 284009 · All quality measures
Type
Psychiatric
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

1709 Jackson St
Omaha, NE 68102
Phone (402) 599-2550

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chris Rogers Individual Operational/Managerial ControlVice Chairman Jan 1, 2018 100%
Roger Garcia Individual Operational/Managerial ControlBoard Member Oct 1, 2021 100%
Sherry Driver Individual Corporate DirectorDirector Feb 1, 2022 100%
W-2 Managing EmployeeDirector Feb 1, 2022 100%
PJ Morgan Individual Operational/Managerial ControlBoard Member Jan 1, 2018 100%
Douglas County Nebraska Organization, Omaha, NE Other Mar 6, 2002 100%
James P Cavanaugh Individual Operational/Managerial ControlBoard Member Jan 1, 2018 100%
Maureen Boyle-Manganaro Individual Operational/Managerial ControlBoard Member Jan 1, 2021 100%
Mike Friend Individual Operational/Managerial ControlBoard Member Jan 1, 2021 100%
Mary Ann Borgeson Individual Operational/Managerial ControlBoard Member Jan 1, 2018 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1023019718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051899",
            "telephone_number": "402-444-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051899",
            "telephone_number": "402-444-7608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 N 16th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681024101",
            "country_code": "US",
            "telephone_number": "402-444-1978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681022513",
            "country_code": "US",
            "telephone_number": "402-599-2713",
            "fax_number": "402-599-2562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOUGLAS COUNTY NEBRASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-444-7676",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NE",
            "license": "260006",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PSYCH",
            "identifier": "0074",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025788600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PSYCH",
            "identifier": "5380038",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas County Community Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Douglas County Community Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.