Organization Active NPI

Sally Gilbreath Counseling P.C.

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1043482896
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2039 Issued in NE
Legal business name
SALLY GILBREATH COUNSELING P.C.
Practice address
11330 Q St
#217
Omaha, NE 68137-3679
Phone
(402) 597-2365
Fax
(402) 597-2349
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Sally Louise Gilbreath, LMHP, LPC
Title
President
Phone
(402) 597-2365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2039 NE Primary

Addresses

Primary practice location

11330 Q St
#217
Omaha, NE 68137-3679

Mailing address

11330 Q St
#217
Omaha, NE 68137-3679
Phone (402) 597-2365

Other identifiers 1

IdentifierTypeStateIssuer
10025466600MedicaidNE

National Provider Directory

National Provider Directory

Locations

11330 Q St
#217
Omaha, NE 68137
Phone (402) 597-2365

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1043482896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 Q ST",
            "address_2": "#217",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373679",
            "telephone_number": "402-597-2365",
            "fax_number": "402-597-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 Q ST",
            "address_2": "#217",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373679",
            "telephone_number": "402-597-2365",
            "fax_number": "402-597-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY GILBREATH COUNSELING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "GILBREATH",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-597-2365",
        "authorized_official_credential": "LMHP, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025466600",
            "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 Apr 1, 2008; 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.