Organization Active NPI

Mallett Counseling, Inc.

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1326469933
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
194 Issued in NE
Legal business name
MALLETT COUNSELING, INC.
Practice address
13504 Stevens St
Suite a
Omaha, NE 68137-1634
Phone
(402) 894-9805
Fax
(402) 894-1015
NPI assigned
Dec 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Authorized official

Name
Teresa Lynn MallettNPI 1871514539
Title
Owner/Counselor
Phone
(402) 894-9805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 194 NE Primary

Addresses

Primary practice location

13504 Stevens St
Suite a
Omaha, NE 68137-1634

Mailing address

13504 Stevens St
Suite a
Omaha, NE 68137-1634
Phone (402) 894-9805

Other identifiers 1

IdentifierTypeStateIssuer
10025687200MedicaidNE

National Provider Directory

National Provider Directory

Locations

13504 Stevens St
Ste A
Omaha, NE 68137
Phone (402) 894-9805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1326469933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13504 STEVENS ST",
            "address_2": "SUITE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371634",
            "telephone_number": "402-894-9805",
            "fax_number": "402-894-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13504 STEVENS ST",
            "address_2": "SUITE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371634",
            "telephone_number": "402-894-9805",
            "fax_number": "402-894-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLETT COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "MALLETT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "402-894-9805"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025687200",
            "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 Dec 27, 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.