NPIMap

Organization Active NPI

Embark Counseling, LLC

  • Mental Health Counselor
  • Columbus, NE
National Provider Identifier
1124518709
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1759 Issued in NE
Legal business name
EMBARK COUNSELING, LLC
Practice address
1969 E 68TH St
Columbus, NE 68601-9618
Phone
(402) 276-1502
NPI assigned
May 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Mindy Muhle, LIMHP, LMFT, MEDFTNPI 1376944603
Title
Owner
Phone
(402) 276-1502

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1759 NE Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 183 NE

Addresses

Primary practice location

1969 E 68TH St
Columbus, NE 68601-9618

Mailing address

1969 E 68TH St
Columbus, NE 68601-9618
Phone (402) 276-1502

Other identifiers 3

IdentifierTypeStateIssuer
10025520800MedicaidNE
1376944603OtherNPI (INDIVIDUAL)
13809308OtherCAQH PROVIDER ID

National Provider Directory

National Provider Directory

Locations

3154 18th Ave
Ste 7
Columbus, NE 68601
Phone (402) 942-9005

Practitioners & affiliated clinicians

Practitioners 2

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": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1124518709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 E 68TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686019618",
            "telephone_number": "402-276-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 E 68TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686019618",
            "telephone_number": "402-276-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBARK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "MUHLE",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-276-1502",
        "authorized_official_credential": "LIMHP, LMFT, MEDFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1759",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025520800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1376944603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "13809308",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.