Organization Active NPI

Calm Waters Counseling, LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1255852315
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4967 Issued in NE
Legal business name
CALM WATERS COUNSELING, LLC
Practice address
11605 Arbor St Ste 106
Omaha, NE 68144-2982
Phone
(402) 330-4700
Fax
(402) 330-8815
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tomeka Johnson
Title
Credentialing Spec.
Phone
(402) 885-7672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4967 NE Primary

Addresses

Primary practice location

11605 Arbor St Ste 106
Omaha, NE 68144-2982

Mailing address

11605 Arbor St Ste 106
Omaha, NE 68144-2982
Phone (402) 330-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260520001502 NE Part B Supplier - Clinic/Group Practice 9133698087 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255852315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 ARBOR ST STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442982",
            "telephone_number": "402-330-4700",
            "fax_number": "402-330-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 ARBOR ST STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442982",
            "telephone_number": "402-330-4700",
            "fax_number": "402-330-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALM WATERS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TOMEKA",
        "authorized_official_title_or_position": "CREDENTIALING SPEC.",
        "authorized_official_telephone_number": "402-885-7672"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4967",
            "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 Jul 21, 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.