Active NPI
Darnell Buggs, PLMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1306041462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7184
- Practice address
- 15521 Grant Cir
Omaha, NE 68116-5136 - Phone
- (402) 598-3662
- Fax
- (402) 491-3662
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- 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 | 7184 | NE | Primary |
Addresses
Primary practice location
15521 Grant Cir
Omaha, NE 68116-5136
Mailing address
2724 N 24TH St
Omaha, NE 68110-2107
Phone (402) 491-3662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47080196226 | 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 |
|---|---|---|---|
| 7184 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306041462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 N 24TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681102107",
"telephone_number": "402-491-3662",
"fax_number": "402-491-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15521 GRANT CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681165136",
"telephone_number": "402-598-3662",
"fax_number": "402-491-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGGS",
"first_name": "DARNELL",
"name_prefix": "Mr.",
"credential": "PLMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "7184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47080196226",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.