Active NPI
Kaleigh Paben, M.A., PLMHP
- Community/Behavioral Health Agency
- Omaha, NE
National Provider Identifier
1336670140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 11034
- Practice address
- 11635 Arbor St
Suite 110
Omaha, NE 68144-5000 - Phone
- (402) 881-5654
- NPI assigned
- Mar 23, 2017
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 11034 | NE | Primary |
Addresses
Primary practice location
11635 Arbor St
Suite 110
Omaha, NE 68144-5000
Mailing address
16889 Oakmont Dr Apt 19
Omaha, NE 68136-1834
Phone (402) 881-5654
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11034 | NE | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Play Therapy Omaha Inc. | 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 Clinic/Center (Including Community Mental Health Center)
- Omaha, NE
- NPI 1285125849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1336670140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16889 OAKMONT DR APT 19",
"city": "OMAHA",
"state": "NE",
"postal_code": "681361834",
"telephone_number": "402-881-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11635 ARBOR ST",
"address_2": "SUITE 110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445000",
"telephone_number": "402-881-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABEN",
"first_name": "KALEIGH",
"credential": "M.A., PLMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NE",
"license": "11034",
"primary": true
}
],
"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 Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.