Active NPI
James A Lundberg, MS,LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1114053436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 632
- Practice address
- 7602 Pacific St Ste 305
Omaha, NE 68114-5405 - Phone
- (402) 393-8277
- NPI assigned
- Feb 23, 2007
- Last updated
- Jun 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 632 | NE | Primary |
Addresses
Primary practice location
7602 Pacific St Ste 305
Omaha, NE 68114-5405
Mailing address
7602 Pacific St Ste 305
Omaha, NE 68114-5405
Phone (402) 393-8277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470726879-27 | Medicaid | NE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 632 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1114053436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7602 PACIFIC ST STE 305",
"city": "OMAHA",
"state": "NE",
"postal_code": "681145405",
"telephone_number": "402-393-8277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7602 PACIFIC ST STE 305",
"city": "OMAHA",
"state": "NE",
"postal_code": "681145405",
"telephone_number": "402-393-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDBERG",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MS,LIMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470726879-27",
"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 Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.