NPIMap

Organization Active NPI

Envision Counseling Center, LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1265674972
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
345 Issued in NE
Legal business name
ENVISION COUNSELING CENTER, LLC
Practice address
3213 N 90TH St
Omaha, NE 68134-4707
Phone
(402) 571-3995
Fax
(402) 571-3980
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Ms. Michelle Oczki, M.S., LIMHPNPI 1841365186
Title
Member
Phone
(402) 571-3995

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 345 NE Primary

Addresses

Primary practice location

3213 N 90TH St
Omaha, NE 68134-4707

Mailing address

3213 N. 90TH St.
Omaha, NE 68134
Phone (402) 571-3995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000236 NE Part B Supplier - Clinic/Group Practice 3971759069 Receives reassigned benefits from 2 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

5658 N 103rd St
Omaha, NE 68134
Phone 4025713995 ext. 2

3213 N 90th St
Omaha, NE 68134
Phone (402) 321-8995

Practitioners & affiliated clinicians

Practitioners 6

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": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1265674972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 N. 90TH ST.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68134",
            "telephone_number": "402-571-3995",
            "fax_number": "402-571-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344707",
            "telephone_number": "402-571-3995",
            "fax_number": "402-571-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "OCZKI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "402-571-3995",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "345",
            "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 Mar 26, 2009; 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.