Active NPI
Nancy Elizabeth Cunningham, LMHP
- Mental Health Counselor
- Fremont, NE
National Provider Identifier
1285877597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3955
- Practice address
- 230 E 22ND St
Suite 3
Fremont, NE 68025-2393 - Phone
- (402) 720-3498
- Fax
- (402) 620-4019
- NPI assigned
- Apr 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3955 | NE | Primary |
Addresses
Primary practice location
230 E 22ND St
Suite 3
Fremont, NE 68025-2393
Mailing address
415 E 23Rd St
Suite 215
Fremont, NE 68025-2393
Phone (402) 720-3498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026115300 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3955 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1285877597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E 23RD ST",
"address_2": "SUITE 215",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252393",
"telephone_number": "402-720-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E 22ND ST",
"address_2": "SUITE 3",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252393",
"telephone_number": "402-720-3498",
"fax_number": "402-620-4019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "NANCY",
"middle_name": "ELIZABETH",
"credential": "LMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026115300",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.