Active NPI
Ian M Severes, LMHP, LADC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1326161118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3688
- Practice address
- 8031 W Center Rd
Suite 324
Omaha, NE 68124-3158 - Phone
- (402) 502-5002
- Fax
- (402) 502-5102
- NPI assigned
- Apr 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3688 | NE | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 826 | NE |
Addresses
Primary practice location
8031 W Center Rd
Suite 324
Omaha, NE 68124-3158
Mailing address
8031 W Center Rd
Suite 324
Omaha, NE 68124-3158
Phone (402) 502-5002
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 |
|---|---|---|---|
| 3688 | NE | MD | Mental Health Counselor |
| 826 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1326161118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8031 W CENTER RD",
"address_2": "SUITE 324",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243158",
"telephone_number": "402-502-5002",
"fax_number": "402-502-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8031 W CENTER RD",
"address_2": "SUITE 324",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243158",
"telephone_number": "402-502-5002",
"fax_number": "402-502-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERES",
"first_name": "IAN",
"middle_name": "M",
"credential": "LMHP, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3688",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "826",
"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 Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.