Organization Active NPI

Mending Mindsets Therapy Services LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1356051718
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENDING MINDSETS THERAPY SERVICES LLC
Practice address
1055 N 115TH St Ste 105
Omaha, NE 68154-4419
Phone
(402) 850-3962
Fax
(531) 466-7401
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Christian Hardy, LIMHP
Title
President
Phone
(402) 850-3962

Specialties & licenses 1

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

Addresses

Primary practice location

1055 N 115TH St Ste 105
Omaha, NE 68154-4419

Mailing address

1055 N 115TH St Ste 105
Omaha, NE 68154-4419
Phone (402) 850-3962

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1356051718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 115TH ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544419",
            "telephone_number": "402-850-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 115TH ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544419",
            "telephone_number": "402-850-3962",
            "fax_number": "531-466-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDSETS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-850-3962",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Nov 28, 2022; 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.