Individual provider Active NPI

Thomas N Gorji, LMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1215949847
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1108 Issued in NE
Practice address
825 M St
Suite 314
Lincoln, NE 68508-2233
Phone
(402) 560-4000
Fax
(402) 476-6110
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1108 NE Primary

Addresses

Primary practice location

825 M St
Suite 314
Lincoln, NE 68508-2233

Mailing address

825 M St
Suite 314
Lincoln, NE 68508-2233
Phone (402) 560-4000

Other identifiers 1

IdentifierTypeStateIssuer
47082917826MedicaidNE

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215949847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 M ST",
            "address_2": "SUITE 314",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082233",
            "telephone_number": "402-560-4000",
            "fax_number": "402-476-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 M ST",
            "address_2": "SUITE 314",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082233",
            "telephone_number": "402-560-4000",
            "fax_number": "402-476-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORJI",
        "first_name": "THOMAS",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "LMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082917826",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.