Individual provider Active NPI

Traci Leigh Gemberling, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1144992736
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12711 Issued in NE
Practice address
11605 Arbor St Ste 106
Omaha, NE 68144-2982
Phone
(402) 330-0960
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 12711 NE
Mental Health Counselor 101YM0800X 12711 NE Primary

Addresses

Primary practice location

11605 Arbor St Ste 106
Omaha, NE 68144-2982

Mailing address

17525 Jefferson St
Omaha, NE 68135-3037
Phone (402) 598-2413

Other practice location 1

14710 W Dodge Rd
Omaha, NE 68154-2027
Phone (402) 709-8338

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

State licenses

LicenseStateTypeSpecialty
12711NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gemberling Counseling LLC Current Accepting new patients
Play Therapy Omaha Inc. Mental Health PastSince Oct 12, 2025 Accepting new patients
Play Therapy Omaha Inc. PastSince Oct 21, 2025 Accepting new patients

Locations

11605 Arbor St
Ste 106
Omaha, NE 68144
Phone (402) 330-0960

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1144992736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17525 JEFFERSON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353037",
            "telephone_number": "402-598-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 ARBOR ST STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442982",
            "telephone_number": "402-330-0960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14710 W Dodge Rd",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681542027",
            "country_code": "US",
            "telephone_number": "402-709-8338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEMBERLING",
        "first_name": "TRACI",
        "middle_name": "LEIGH",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "12711",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12711",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 17, 2022; 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.