Individual provider Active NPI

Michelle Deutsch-Mackey, PLADC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
National Provider Identifier
1063104362
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
P-2069 Issued in NE
Practice address
1941 S 42ND St Ste 307
Omaha, NE 68105-2955
Phone
(402) 979-8350
Fax
(888) 490-0210
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-2069 NE Primary

Addresses

Primary practice location

1941 S 42ND St Ste 307
Omaha, NE 68105-2955

Mailing address

1941 S 42ND St Ste 307
Omaha, NE 68105-2955
Phone (402) 979-8350

Other names 1

  • Michelle Deutsch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P-2069NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivating Paths Counseling Addiction (Substance Use Disorder) CurrentSince May 28, 2023 Accepting new patients

Locations

1941 S 42nd St
Ste 307
Omaha, NE 68105
Phone (402) 970-8350

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1063104362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 307",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052955",
            "telephone_number": "402-979-8350",
            "fax_number": "888-490-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 307",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052955",
            "telephone_number": "402-979-8350",
            "fax_number": "888-490-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH-MACKEY",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-2069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DEUTSCH",
            "credential": "PLADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 24, 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.