Active NPI
Samantha R Willey, MS, LMHP, NCC
- Professional Counselor
- Omaha, NE
National Provider Identifier
1457760985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2161
- Practice address
- 820 S 75TH St
Omaha, NE 68114-4623 - Phone
- (402) 391-2477
- NPI assigned
- Aug 8, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 4442 | NE | |
| Professional Counselor | 101YP2500X | 2161 | NE | Primary |
Addresses
Primary practice location
820 S 75TH St
Omaha, NE 68114-4623
Mailing address
5100 S 79TH Ave
Ralston, NE 68127-2709
Phone (402) 578-8089
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4442 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1457760985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 S 79TH AVE",
"city": "RALSTON",
"state": "NE",
"postal_code": "681272709",
"telephone_number": "402-578-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S 75TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144623",
"telephone_number": "402-391-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY",
"first_name": "SAMANTHA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MS, LMHP, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4442",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "2161",
"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 Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.