Active NPI
Ray of Resilience Therapy Services, LLC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1417425653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RAY OF RESILIENCE THERAPY SERVICES, LLC
- Practice address
- 4940 S 114TH St Ste 2
Omaha, NE 68137-2377 - Phone
- (402) 431-2835
- NPI assigned
- Nov 6, 2018
- 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
- Sarah Johnson
- Title
- Credentialing Manager
- Phone
- (402) 983-8999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4940 S 114TH St Ste 2
Omaha, NE 68137-2377
Mailing address
4940 S 114TH St Ste 2
Omaha, NE 68137-2377
Phone (402) 431-2835
National Provider Directory
National Provider DirectoryLocations
4611 S 96th St
Ste 165
Omaha, NE 68127
4940 S 114th St
Ste 2
Omaha, NE 68137
Phone (402) 431-2835
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1518247360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695772800000",
"number": "1417425653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 S 114TH ST STE 2",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372377",
"telephone_number": "402-431-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 S 114TH ST STE 2",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372377",
"telephone_number": "402-431-2835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAY OF RESILIENCE THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "402-983-8999"
},
"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 Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.