Active NPI
Mindscape Therapy LLC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1235914581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MINDSCAPE THERAPY LLC
- Practice address
- 1055 N 115TH St Ste 105
Omaha, NE 68154-4419 - Phone
- (402) 413-9683
- Fax
- (531) 466-7401
- NPI assigned
- Aug 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christian Nicole Hardy, LIMHP
- Title
- Owner
- Phone
- (402) 850-3962
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1055 N 115TH St Ste 105
Omaha, NE 68154-4419
Mailing address
1055 N 115TH St Ste 105
Omaha, NE 68154-4419
Phone (402) 413-9683
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1871117309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1235914581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 115TH ST STE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544419",
"telephone_number": "402-413-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 115TH ST STE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544419",
"telephone_number": "402-413-9683",
"fax_number": "531-466-7401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDSCAPE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-850-3962",
"authorized_official_credential": "LIMHP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.