Active NPI
Katherine Gallegos
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1063946705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10401
- Practice address
- 11949 Q St
Omaha, NE 68137-3503 - Phone
- (402) 595-1565
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10401 | NE | Primary |
| Clinical Social Worker | 1041C0700X | 6957 | NE |
Addresses
Primary practice location
11949 Q St
Omaha, NE 68137-3503
Mailing address
5732 N 81St St
Omaha, NE 68134-2064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10401 | NE | MD | Mental Health Counselor |
| 6957 | NE | MD | Licensed Practical Nurse |
| 2396 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Over Matter Counseling Services LLC | Current | Accepting new patients | |
| Hope Collaborative LLC | Mental Health | Past | Accepting new patients |
Locations
5410 S 99th St
Omaha, NE 68127
Phone (402) 301-2312
955 N Adams St
Ste 8
Papillion, NE 68046
Phone (402) 339-0506
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Papillion, NE
- NPI 1750872149
-
- Adult Mental Health Clinic/Center
- Omaha, NE
- NPI 1922732742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1063946705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5732 N 81ST ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681342064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11949 Q ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373503",
"telephone_number": "402-595-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10401",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "6957",
"primary": false
}
],
"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 Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.