Individual provider Active NPI

Gwen Kathleen Weber, PH.D., MSW

  • Marriage & Family Therapist
  • Omaha, NE
National Provider Identifier
1154428894
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46 Issued in NE
Practice address
4917 Underwood Ave
Omaha, NE 68132-2421
Phone
(402) 556-1516
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
323NEMDClinical Psychologist
46NEMDSpeech-Language Pathologist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 323 NE
Marriage & Family Therapist 106H00000X 46 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

4917 Underwood Ave
Omaha, NE 68132-2421

Mailing address

8309 Jackson St
Omaha, NE 68114-5325
Phone (402) 393-7211

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
3090OtherNEMIDLANDS CHOICE PROVIDER
82046OtherNEBLUE CROSS & BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154428894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 JACKSON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145325",
            "telephone_number": "402-393-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 UNDERWOOD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322421",
            "telephone_number": "402-556-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "GWEN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D., MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "323",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE PROVIDER",
            "identifier": "3090",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "82046",
            "state": "NE"
        }
    ],
    "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 Sep 11, 2025; 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.