NPIMap

Organization Active NPI

Whole Self Counseling LLC

  • Clinic/Center
  • Gretna, NE
National Provider Identifier
1114793072
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WHOLE SELF COUNSELING LLC
Practice address
101 Enterprise Dr
Gretna, NE 68028
Phone
(913) 579-2527
NPI assigned
Nov 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Holly Mattox, MA LMHP LPCNPI 1457132920
Title
Owner
Phone
(913) 579-2527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

101 Enterprise Dr
Gretna, NE 68028

Mailing address

1309 S 204TH St # 308
Elkhorn, NE 68022-2880
Phone (913) 579-2527

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1114793072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 S 204TH ST # 308",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222880",
            "telephone_number": "913-579-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ENTERPRISE DR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "68028",
            "telephone_number": "913-579-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE SELF COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "MATTOX",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-579-2527",
        "authorized_official_credential": "MA LMHP LPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.