Organization Active NPI

Holistic Counseling LLC

  • Community/Behavioral Health Agency
  • Omaha, NE
National Provider Identifier
1043648306
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4189 Issued in NE
Legal business name
HOLISTIC COUNSELING LLC
Practice address
11414 West Center Rd
Ste 348
Omaha, NE 68144-4420
Phone
(402) 507-8710
Fax
(402) 415-2199
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Mrs. Carmelita Marie Christina, LIMHP
Title
Owner / Therapist
Phone
(402) 507-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4189 NE Primary

Addresses

Primary practice location

11414 West Center Rd
Ste 348
Omaha, NE 68144-4420

Mailing address

11414 West Center Rd
Ste 348
Omaha, NE 68144-4420
Phone (402) 507-8710

Other identifiers 1

IdentifierTypeStateIssuer
1043648306MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250228000429 NE Part B Supplier - Clinic/Group Practice 7315467750 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

8420 W Dodge Rd
Ste 320D
Omaha, NE 68114

11414 W Center Rd
Ste 348
Omaha, NE 68144
Phone (402) 507-8710

7701 Pacific St
Ste 10
Omaha, NE 68114
Phone (402) 390-6007

Practitioners & affiliated clinicians

Practitioners 2

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": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1043648306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 WEST CENTER RD",
            "address_2": "STE 348",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444420",
            "telephone_number": "402-507-8710",
            "fax_number": "402-415-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 WEST CENTER RD",
            "address_2": "STE 348",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444420",
            "telephone_number": "402-507-8710",
            "fax_number": "402-415-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTINA",
        "authorized_official_first_name": "CARMELITA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "402-507-8710",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "4189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043648306",
            "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 Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.