Active NPI
Holistic Counseling LLC
- Community/Behavioral Health Agency
- Omaha, NE
National Provider Identifier
1043648306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4189
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043648306 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1215226162
-
- Clinical Social Worker
- Omaha, NE
- NPI 1063091627
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.