Active NPI
Shelley Kay Pool, M.ED., M.S.
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1427381581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3488
- Practice address
- 11414 W Center Rd Ste 215
Omaha, NE 68144-4487 - Phone
- (402) 215-3211
- Fax
- (402) 334-0629
- NPI assigned
- Sep 8, 2009
- Last updated
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3488 | NE | Primary |
| Professional Counselor | 101YP2500X | 1752 | NE |
Addresses
Primary practice location
11414 W Center Rd Ste 215
Omaha, NE 68144-4487
Mailing address
1261 S 165TH Ave
Omaha, NE 68130-1315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100253275-00 | Medicaid | NE |
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)
- Not enrolled
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3488 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1427381581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 S 165TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681301315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 W CENTER RD STE 215",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444487",
"telephone_number": "402-215-3211",
"fax_number": "402-334-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOL",
"first_name": "SHELLEY",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "M.ED., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3488",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1752",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100253275-00",
"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 Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.