Mindi Bernice Wikstrom

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13789 Issued in NE

Practice address

1941 S 42ND St Ste 542
Omaha, NE 68105-2945

Phone

(402) 702-0583

Fax

(402) 702-0583

NPI assigned

Feb 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mindi Bernice Counseling LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1619711561
  NPD Authorized official

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1437914249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 542",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-401-4445",
            "fax_number": "402-702-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 542",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-702-0583",
            "fax_number": "402-702-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKSTROM",
        "first_name": "MINDI",
        "middle_name": "BERNICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassi Corinn Wigington, PLMHP, NCC
• Gregory Charles Wigington, M.D.
• Mary Wijang
• Susan Wik
• Alana Wikerson
• Brendan Wilber
• Ezequiel William Wilbur
• Krista Leigh Wilbur
• Shaimesha Wilburn
• Tamerra Wilburn

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.