Organization Active NPI

Ray of Resilience Therapy Services, LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1417425653
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Sep 27, 2023

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.