Organization Active NPI

New Balance Counseling

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1356613665
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3740 Issued in NE
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10025358900MedicaidNE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.