Resolve Mediation & Therapeutic Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RESOLVE MEDIATION & THERAPEUTIC SERVICES, LLC

Practice address

3401 N 191St Ave
Elkhorn, NE 68022-3350

Phone

(402) 660-1461

NPI assigned

Jan 3, 2023

Organization subpart

No

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

Authorized official

Name

Elizabeth Marie Wollmann, LICSWNPI 1871770099

Title

Licsw

Phone

(402) 660-1461

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Marie Wollmann, MSW, PLMHP

  • Clinical Social Worker
  • Omaha, NE
  • NPI 1871770099
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1205549433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15035 LAUREL AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681164541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N 191ST AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223350",
            "telephone_number": "402-660-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLVE MEDIATION & THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "WOLLMANN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "402-660-1461",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rector
• Rian Reeder
• Brittany Ann Reeg, PA-C
• Austin Thomas Reilly, MD
• Jennifer Catherine Reiser, M.D.
• Katharine Love Reutzel, M.S., R.D., L.M.N.T.
• Jodi Leigh Rever
• Venkata Revuru
• Samantha Rose Rezac
• Gary Richards

• Mental Health Clinic/Center (Including Community Mental Health Center) in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.