Active NPI
Emily P Anson, LMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1104830561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1479
- Practice address
- 11319 P St
Suite 2a
Omaha, NE 68137-6302 - Phone
- (308) 379-4388
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1479 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 3214 | NE | |
| Mental Health Counselor | 101YM0800X | 4962 | CO |
Addresses
Primary practice location
11319 P St
Suite 2a
Omaha, NE 68137-6302
Mailing address
11319 P St
Suite 2a
Omaha, NE 68137-6302
Phone (308) 379-4388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-0785436-26 | Medicaid | NE |
Other names 1
- Emily K Pfeifer
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1479 | NE | MD | Physical Therapy Assistant |
| 3214 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change Grow Thrive, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Omaha, NE
- NPI 1750736633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1104830561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11319 P ST",
"address_2": "SUITE 2A",
"city": "OMAHA",
"state": "NE",
"postal_code": "681376302",
"telephone_number": "308-379-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11319 P ST",
"address_2": "SUITE 2A",
"city": "OMAHA",
"state": "NE",
"postal_code": "681376302",
"telephone_number": "308-379-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSON",
"first_name": "EMILY",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "LMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1479",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3214",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "4962",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-0785436-26",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "PFEIFER",
"middle_name": "K",
"credential": "LMHP",
"code": "1",
"type": "Former Name"
}
]
}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 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.