NPIMap

Organization Active NPI

Omaha Wellness Collective

  • Adult Mental Health Clinic/Center
  • Omaha, NE
National Provider Identifier
1437806387
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
OMAHA WELLNESS COLLECTIVE
Practice address
3610 N 163Rd PLZ
Omaha, NE 68116-2164
Phone
(402) 885-9772
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Juline Mosser, LIMHPNPI 1366834095
Title
Owner
Phone
(402) 534-1602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3610 N 163Rd PLZ
Omaha, NE 68116-2164

Mailing address

3610 N 163Rd PLZ
Omaha, NE 68116-2164
Phone (402) 534-1602

National Provider Directory

National Provider Directory

Locations

4141 N 156th St
Omaha, NE 68116

4141 N 156th St
Ste 201
Omaha, NE 68116
Phone (402) 534-1602

3610 N 163rd Plz
Omaha, NE 68116
Phone (402) 739-9491

Practitioners & affiliated clinicians

Practitioners 7

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": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1437806387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 N 163RD PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162164",
            "telephone_number": "402-534-1602",
            "fax_number": "402-282-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N 163RD PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162164",
            "telephone_number": "402-885-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA WELLNESS COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "MOSSER",
        "authorized_official_first_name": "JULINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-534-1602",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult 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 Jan 25, 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.