Organization Active NPI

Abundant Life Counseling

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1396016382
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3605 Issued in NE
Legal business name
ABUNDANT LIFE COUNSELING
Practice address
5002 Dodge St
Suite 205
Omaha, NE 68132-2906
Phone
(402) 706-5863
NPI assigned
Jan 23, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Mr. Miguel Angel Soto, LMHP
Title
Therapist
Phone
(402) 706-5863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 3605 NE Primary

Addresses

Primary practice location

5002 Dodge St
Suite 205
Omaha, NE 68132-2906

Mailing address

5002 Dodge St
Suite 205
Omaha, NE 68132-2906

Other identifiers 1

IdentifierTypeStateIssuer
10025306000MedicaidNE

National Provider Directory

National Provider Directory

Locations

5002 Dodge St
Ste 205
Omaha, NE 68132
Phone (402) 551-7092

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1396016382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 DODGE ST",
            "address_2": "SUITE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 DODGE ST",
            "address_2": "SUITE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322906",
            "telephone_number": "402-706-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "402-706-5863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025306000",
            "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 Jan 23, 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.