NPIMap

Organization Active NPI

Catholic Charities of the Archdiocese of Omaha Inc

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1225127657
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OMAHA INC
Practice address
9223 Bedford Ave
Omaha, NE 68134-4725
Phone
(402) 554-0520
NPI assigned
Oct 12, 2006
Last updated
Jun 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Theresa Ross
Title
Senior Finance Director
Phone
(402) 829-9292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SATC087 NE
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

9223 Bedford Ave
Omaha, NE 68134-4725

Mailing address

9223 Bedford Ave
Omaha, NE 68134-4725
Phone (402) 554-0520

Other identifiers 2

IdentifierTypeStateIssuer
10025225100MedicaidNE
99050OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729000619 NE Part B Supplier - Clinic/Group Practice 5597735258 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Omaha, NE

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Archdiocese of Omaha Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3020 18th St
Ste 17
Columbus, NE 68601
Phone (402) 563-3833

9223 Bedford Ave
Omaha, NE 68134
Phone (402) 554-0520

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1225127657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9223 BEDFORD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344725",
            "telephone_number": "402-554-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9223 BEDFORD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344725",
            "telephone_number": "402-554-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OMAHA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "SENIOR FINANCE DIRECTOR",
        "authorized_official_telephone_number": "402-829-9292"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "SATC087",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025225100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99050",
            "state": "NE"
        }
    ],
    "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 Jun 17, 2022; 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.