Organization Active NPI

Bravely Blooming Counseling, LLC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1114662921
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRAVELY BLOOMING COUNSELING, LLC
Practice address
7130 S 29TH St Ste E
Lincoln, NE 68516-5841
Phone
(402) 413-6230
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Amber M Weir, PLMHP
Title
Business Owner
Phone
(402) 413-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7130 S 29TH St Ste E
Lincoln, NE 68516-5841

Mailing address

7130 S 29TH St Ste E
Lincoln, NE 68516-5841
Phone (402) 533-9857

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1114662921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 S 29TH ST STE E",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165841",
            "telephone_number": "402-533-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 S 29TH ST STE E",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165841",
            "telephone_number": "402-413-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVELY BLOOMING COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "402-413-6230",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.