Active NPI
Joseph Vantrimmell
- Counselor
- Omaha, NE
National Provider Identifier
1366969545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11243
- Practice address
- 6720 N 30TH St
Omaha, NE 68112-3211 - Phone
- (402) 451-6244
- NPI assigned
- Aug 28, 2017
- Last updated
- Aug 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7172 | NE | |
| Counselor | 101Y00000X | 11243 | NE | Primary |
Addresses
Primary practice location
6720 N 30TH St
Omaha, NE 68112-3211
Mailing address
2707 S 107TH Ave
Omaha, NE 68124-2443
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7172 | NE | MD | Dentist |
| 11243 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503878400000",
"number": "1366969545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 S 107TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681123211",
"telephone_number": "402-451-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANTRIMMELL",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-28",
"last_updated": "2017-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "7172",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "11243",
"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 Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.