Active NPI
Charline May Duncan, LMHP, LCSW
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1295177103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1862
- Practice address
- 2401 Lake St
Suite 140
Omaha, NE 68111-3872 - Phone
- (402) 614-6670
- Fax
- (402) 614-6676
- NPI assigned
- Jul 19, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1862 | NE | Primary |
| Clinical Social Worker | 1041C0700X | 225 | NE |
Addresses
Primary practice location
2401 Lake St
Suite 140
Omaha, NE 68111-3872
Mailing address
2401 Lake St
Suite 140
Omaha, NE 68111-3872
Phone (402) 614-6670
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 |
|---|---|---|---|
| 1862 | NE | MD | Mental Health Counselor |
| 225 | NE | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evol Consulting LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1730419656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1295177103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 LAKE ST",
"address_2": "SUITE 140",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113872",
"telephone_number": "402-614-6670",
"fax_number": "402-614-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 LAKE ST",
"address_2": "SUITE 140",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113872",
"telephone_number": "402-614-6670",
"fax_number": "402-614-6676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "CHARLINE",
"middle_name": "MAY",
"name_prefix": "Ms.",
"credential": "LMHP, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-19",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1862",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "225",
"primary": false
}
],
"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 19, 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.