Individual provider Active NPI

Brianna Cooks, PLMHP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
National Provider Identifier
1427754159
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
13217 Issued in NE
Practice address
2126 N 117TH Ave
Omaha, NE 68164-3670
Phone
(402) 934-1617
NPI assigned
Feb 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 13217 NE Primary

Addresses

Primary practice location

2126 N 117TH Ave
Omaha, NE 68164-3670

Mailing address

8220 Blondo Street
Apt. 110
Omaha, NE 68134
Phone (785) 318-0365

Other identifiers 1

IdentifierTypeStateIssuer
13217OtherNEI DO NOT HAVE MEDICARE, BUT WILL BE PUT ONTO MY ORGANIZATIONS INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508002227 NE Practitioner - Mental Health Counselor 0446777817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13217NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Integrative Care, LLC CurrentSince Apr 29, 2025 Accepting new patients

Locations

2126 N 117th Ave
Omaha, NE 68164
Phone (402) 934-1617

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8127/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1427754159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 BLONDO STREET",
            "address_2": "APT. 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68134",
            "telephone_number": "785-318-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 N 117TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643670",
            "telephone_number": "402-934-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKS",
        "first_name": "BRIANNA",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NE",
            "license": "13217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DO NOT HAVE MEDICARE, BUT WILL BE PUT ONTO MY ORGANIZATIONS INSURANCE",
            "identifier": "13217",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.