NPIMap

Organization Active NPI

Ryan Evans Counseling, LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1063990984
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1692 Issued in NE
Legal business name
RYAN EVANS COUNSELING, LLC
Practice address
12728 Augusta Ave Ste 150
Omaha, NE 68144-3753
Phone
(402) 330-1537
Fax
(402) 330-9331
NPI assigned
Aug 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Mr. Ryan Thomas Evans, LIMHP, LADCNPI 1619217916
Title
Owner
Phone
(402) 330-1537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1189 NE
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1692 NE Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X NE

Addresses

Primary practice location

12728 Augusta Ave Ste 150
Omaha, NE 68144-3753

Mailing address

12728 Augusta Ave Ste 150
Omaha, NE 68144-3753
Phone (402) 330-1537

Other identifiers 1

IdentifierTypeStateIssuer
600894738MedicaidNE

National Provider Directory

National Provider Directory

Locations

12728 Augusta Ave
Ste 150
Omaha, NE 68144
Phone (402) 330-1537

Practitioners & affiliated clinicians

Practitioners 1

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": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1063990984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 AUGUSTA AVE STE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443753",
            "telephone_number": "402-330-1537",
            "fax_number": "402-330-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 AUGUSTA AVE STE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443753",
            "telephone_number": "402-330-1537",
            "fax_number": "402-330-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN EVANS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-330-1537",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIMHP, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1189",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1692",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600894738",
            "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 Aug 2, 2018; 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.