Individual provider Active NPI

Carmelita M Christian

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1215226162
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1209 Issued in NE
Practice address
11414 W Center Rd Ste 348
Omaha, NE 68144-4420
Phone
(402) 507-8710
NPI assigned
Mar 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4189 NE
Mental Health Counselor 101YM0800X 1209 NE Primary

Addresses

Primary practice location

11414 W Center Rd Ste 348
Omaha, NE 68144-4420

Mailing address

11414 W Center Rd Ste 348
Omaha, NE 68144-4420
Phone (402) 507-8710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228000489 NE Practitioner - Mental Health Counselor 9133649577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11414 W Ctr Rd
Suite 348
Omaha, NE 68144-4420
Phone (402) 507-8710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Holistic Counseling LLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

8420 W Dodge Rd
Ste 320D
Omaha, NE 68114

11414 W Center Rd
Ste 348
Omaha, NE 68144
Phone (402) 507-8710

7701 Pacific St
Ste 10
Omaha, NE 68114
Phone (402) 390-6007

Interoperability endpoints

  • Direct secure messaging: carmelitachristian@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1215226162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 348",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444420",
            "telephone_number": "402-507-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 348",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444420",
            "telephone_number": "402-507-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "CARMELITA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4189",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.