Individual provider Active NPI

Zachary John Maloley

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1164162715
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22159 Issued in NE
Practice address
14710 W Dodge Rd Ste 200
Omaha, NE 68154-2027
Phone
(308) 293-6531
NPI assigned
Mar 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 22159 NE Primary

Addresses

Primary practice location

14710 W Dodge Rd Ste 200
Omaha, NE 68154-2027

Mailing address

11026 Olin Ave
Omaha, NE 68144-4934
Phone (308) 293-6531

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL maloley.zachary@wetside66.net Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1164162715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11026 OLIN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444934",
            "telephone_number": "308-293-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14710 W DODGE RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542027",
            "telephone_number": "308-293-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOLEY",
        "first_name": "ZACHARY",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "22159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maloley.zachary@wetside66.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14710 W Dodge Rd Ste 200",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681542027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 31, 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.