Organization Active NPI

Selah Counseling Center, LLC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1235705591
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SELAH COUNSELING CENTER, LLC
Practice address
1345 S 16TH St
Lincoln, NE 68502-1466
Phone
(402) 413-1811
NPI assigned
May 27, 2021
Last updated
May 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Michaela Irene Kadavy, MA, LMHPNPI 1891132700
Title
Therapist
Phone
(402) 413-1811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1345 S 16TH St
Lincoln, NE 68502-1466

Mailing address

3430 Pawnee St
Lincoln, NE 68506-3252
Phone (402) 413-1811

Other identifiers 1

IdentifierTypeStateIssuer
1467801159OtherAARON KADAVY NPI

National Provider Directory

National Provider Directory

Locations

1345 S 16th St
Lincoln, NE 68502
Phone (402) 327-1272

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1235705591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 PAWNEE ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063252",
            "telephone_number": "402-413-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685021466",
            "telephone_number": "402-413-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "KADAVY",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "402-413-1811",
        "authorized_official_credential": "MA, LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARON KADAVY NPI",
            "identifier": "1467801159",
            "state": null
        }
    ],
    "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 May 27, 2021; 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.