Active NPI
Endless Possibilities LLC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1265769533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 325
- Legal business name
- ENDLESS POSSIBILITIES LLC
- Practice address
- 11330 Q St Ste 223
Omaha, NE 68137-3679 - Phone
- (402) 699-2139
- NPI assigned
- Nov 6, 2009
- Last updated
- Nov 6, 2009
- 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
- Mrs. Kimberly Anne Demeglio Brown, LIMHP
- Title
- Owner/Therapist
- Phone
- (402) 699-2139
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 | 325 | NE | Primary |
Addresses
Primary practice location
11330 Q St Ste 223
Omaha, NE 68137-3679
Mailing address
5704 S 153Rd St
Omaha, NE 68137-2474
Phone (402) 699-2139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025502600 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
11330 Q St
Ste 223
Omaha, NE 68137
Phone (402) 699-2139
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1154463875
-
- Mental Health Counselor
- Omaha, NE
- NPI 1669658449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257465600000",
"number": "1265769533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5704 S 153RD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372474",
"telephone_number": "402-699-2139",
"fax_number": "402-597-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11330 Q ST STE 223",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373679",
"telephone_number": "402-699-2139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDLESS POSSIBILITIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-06",
"last_updated": "2009-11-06",
"status": "A",
"authorized_official_last_name": "DEMEGLIO BROWN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "402-699-2139",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LIMHP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025502600",
"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 Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.