Active NPI
New Balance Counseling
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1356613665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3740
- Legal business name
- NEW BALANCE COUNSELING
- Practice address
- 1503 N 21St St
Omaha, NE 68110-2309 - Phone
- (402) 709-9849
- NPI assigned
- Feb 1, 2012
- Last updated
- Feb 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antoinette Bell
- Title
- Therapist
- Phone
- (402) 709-9849
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3740 | NE | Primary |
Addresses
Primary practice location
1503 N 21St St
Omaha, NE 68110-2309
Mailing address
6415 Ames Ave
Suite B
Omaha, NE 68104-1924
Phone (402) 709-9849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025358900 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
6415 Ames Ave
Ste B
Omaha, NE 68104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328054400000",
"number": "1356613665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6415 AMES AVE",
"address_2": "SUITE B",
"city": "OMAHA",
"state": "NE",
"postal_code": "681041924",
"telephone_number": "402-709-9849",
"fax_number": "402-451-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 N 21ST ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681102309",
"telephone_number": "402-709-9849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BALANCE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "ANTOINETTE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "402-709-9849"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025358900",
"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 Feb 1, 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.