Kelli Lea Slagle, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2875 Issued in NE

Practice address

9802 Nicholas St Ste 350
Omaha, NE 68114-2106

Phone

(402) 932-2296

Fax

(402) 281-0665

NPI assigned

Apr 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kelli Lea Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1043485337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 NICHOLAS ST STE 350",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142106",
            "telephone_number": "402-932-2296",
            "fax_number": "402-281-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 NICHOLAS ST STE 350",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142106",
            "telephone_number": "402-932-2296",
            "fax_number": "402-281-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "KELLI",
        "middle_name": "LEA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00982",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-0637558",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "SMITH",
            "middle_name": "LEA",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Asia L Sladek, LIMHP
• Brandon Sladek
• Mary Beth Sladek
• Lora Louise Sladovnik, LIMHP
• Jason Slagel, D.C.
• Rachael Slagle, NP
• Amber Margaret Slaikeu
• Janet Slama
• Lisa Marie Slama, OTR/L
• Amber Slapnicka

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.