NPIMap

Organization Active NPI

Mind Over Matter Reclamation Center, Inc.

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1184922999
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
824 Issued in NE
Legal business name
MIND OVER MATTER RECLAMATION CENTER, INC.
Practice address
3223 N 45TH St
Omaha, NE 68104-3711
Phone
(402) 359-3817
Fax
(206) 309-9598
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Faranita Dunbar, LIMHP
Title
Ceo
Phone
(402) 359-3817

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 824 NE Primary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X 824 NE

Addresses

Primary practice location

3223 N 45TH St
Omaha, NE 68104-3711

Mailing address

PO Box 24328
Omaha, NE 68124-0328
Phone (402) 359-3817

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1184922999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24328",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681240328",
            "telephone_number": "402-359-3817",
            "fax_number": "206-309-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N 45TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043711",
            "telephone_number": "402-359-3817",
            "fax_number": "206-309-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OVER MATTER RECLAMATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "FARANITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-359-3817",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "824",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "NE",
            "license": "824",
            "primary": false
        }
    ],
    "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 Mar 2, 2011; 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.