Jeffrey Loy Stormberg, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

146 Issued in NE

Practice address

1403 Farnam St
Ste 215
Omaha, NE 68102-2200

Phone

(402) 393-0642

Fax

(402) 391-2641

NPI assigned

Aug 10, 2006

Last updated

Dec 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1154332831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 FARNAM STREET",
            "address_2": "STE 215",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "685025759",
            "telephone_number": "402-393-0642",
            "fax_number": "402-391-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 FARNAM ST",
            "address_2": "STE 215",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022200",
            "telephone_number": "402-393-0642",
            "fax_number": "402-391-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMBERG",
        "first_name": "JEFFREY",
        "middle_name": "LOY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS NUMBER",
            "identifier": "472928000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "84418",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6223012",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daylan Storm, PHARMD
• Julia Storm, PHARMD
• Lydia Gail Storm, MS GC
• Molly Storm
• Amy Elizabeth Stormberg
• Scott Matthew Stormberg, DDS
• Nicole Stormo
• Layne Storrs
• Jared L Storts, MPT
• C Grant Story, LMHP

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.