Organization Active NPI

Reliable Rock Counseling and Consulting, P.C

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1063752863
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
818 Issued in NE
Legal business name
RELIABLE ROCK COUNSELING AND CONSULTING, P.C
Practice address
4060 Vinton St
100
Omaha, NE 68105-3862
Phone
(402) 214-6949
NPI assigned
Feb 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Amanda Gurock, LICSW
Title
Director of Therapy
Phone
(402) 214-6949

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 3460 NE
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 818 NE Primary

Addresses

Primary practice location

4060 Vinton St
100
Omaha, NE 68105-3862

Mailing address

4060 Vinton St
100
Omaha, NE 68105-3862
Phone (402) 214-6949

National Provider Directory

National Provider Directory
Tax ID family
Reliable Rock2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4060 Vinton St
Ste 100
Omaha, NE 68105
Phone (402) 991-9880

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1063752863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 VINTON ST",
            "address_2": "100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681053862",
            "telephone_number": "402-214-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 VINTON ST",
            "address_2": "100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681053862",
            "telephone_number": "402-214-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE ROCK COUNSELING AND CONSULTING, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "GUROCK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY",
        "authorized_official_telephone_number": "402-214-6949",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3460",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "818",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 7, 2017; 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.