Organization Active NPI

Imagine Couseling Services

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1265860506
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3815 Issued in NE
Legal business name
IMAGINE COUSELING SERVICES
Practice address
11319 P St
Omaha, NE 68137-6302
Phone
(402) 690-0735
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Mrs. Elizabeth Ann Boyer, MS, LMHP
Title
President
Phone
(402) 690-0735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 3815 NE Primary

Addresses

Primary practice location

11319 P St
Omaha, NE 68137-6302

Mailing address

11319 P St
Omaha, NE 68137-6302

National Provider Directory

National Provider Directory

Locations

11319 P St
Omaha, NE 68137
Phone (402) 592-0328

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1265860506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 P ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681376302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11319 P ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681376302",
            "telephone_number": "402-690-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE COUSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-690-0735",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3815",
            "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 Oct 23, 2013; 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.