Organization Active NPI

Vicki Holoubeck, Inc

  • Mental Health Counselor
  • Bellevue, NE
National Provider Identifier
1144574609
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
755 Issued in NE
Legal business name
VICKI HOLOUBECK, INC
Practice address
1406 Fort Crook Rd S
Suite 401
Bellevue, NE 68005-2992
Phone
(402) 880-9453
Fax
(402) 292-0144
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Vicki L Holoubeck, LIMHP
Title
Owner/President
Phone
(402) 880-9453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 755 NE Primary

Addresses

Primary practice location

1406 Fort Crook Rd S
Suite 401
Bellevue, NE 68005-2992

Mailing address

1406 Fort Crook Rd S
Suite 401
Bellevue, NE 68005-2992
Phone (402) 880-9453

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1144574609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 FORT CROOK RD S",
            "address_2": "SUITE 401",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052992",
            "telephone_number": "402-880-9453",
            "fax_number": "402-292-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 FORT CROOK RD S",
            "address_2": "SUITE 401",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052992",
            "telephone_number": "402-880-9453",
            "fax_number": "402-292-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI HOLOUBECK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "HOLOUBECK",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-880-9453",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.