Active NPI
Hopi Collective Care
- Counselor
- Omaha, NE
National Provider Identifier
1104657832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- HOPI COLLECTIVE CARE
- Practice address
- 11207 W Dodge Rd Ste 250
Omaha, NE 68154-2650 - Phone
- (402) 807-5242
- Fax
- (531) 213-2377
- NPI assigned
- Aug 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Villescas
- Title
- Owner
- Phone
- (402) 973-0845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
11207 W Dodge Rd Ste 250
Omaha, NE 68154-2650
Mailing address
6795 Emmet St
Omaha, NE 68104-3127
Phone (402) 807-5242
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1104657832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6795 EMMET ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043127",
"telephone_number": "402-807-5242",
"fax_number": "531-213-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11207 W DODGE RD STE 250",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542650",
"telephone_number": "402-807-5242",
"fax_number": "531-213-2377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPI COLLECTIVE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "VILLESCAS",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-973-0845"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"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 Aug 13, 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.