Individual provider Active NPI

Amalia Dejka, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1073246435
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13008 Issued in NE
Practice address
10826 Old Mill Rd Ste 104
Omaha, NE 68154-2660
Phone
(402) 671-3750
NPI assigned
Jul 5, 2022
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13008 NE Primary

Addresses

Primary practice location

10826 Old Mill Rd Ste 104
Omaha, NE 68154-2660

Mailing address

10826 Old Mill Rd Ste 104
Omaha, NE 68154-2660
Phone (402) 671-3750

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL brandon@truthandrestoration.com Direct

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
13008NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Molly Dejka Counseling LLC Mental Health Current Accepting new patients
Truth and Restoration LLC Mental Health CurrentSince Jul 10, 2022 Accepting new patients

Locations

1055 N 115th St
Ste 105
Omaha, NE 68154
Phone (402) 915-0516

10826 Old Mill Rd
Ste 104
Omaha, NE 68154
Phone (402) 415-9226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1073246435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10826 OLD MILL RD STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542660",
            "telephone_number": "402-671-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10826 OLD MILL RD STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542660",
            "telephone_number": "402-671-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJKA",
        "first_name": "AMALIA",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brandon@truthandrestoration.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10826 Old Mill Rd Ste 104",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681542660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 31, 2024; 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.