Active NPI
Holistic Healing Mind Body & Soul
- Adolescent and Children Mental Health Clinic/Center
- Omaha, NE
National Provider Identifier
1457947004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- HOLISTIC HEALING MIND BODY & SOUL
- Practice address
- 2569 Browne St
Omaha, NE 68111-2046 - Phone
- (402) 630-7649
- NPI assigned
- Dec 17, 2020
- Last updated
- Oct 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Delicia Charlisse McGhee, MSW, PLHMP
- Title
- Counsleor/Mental Health
- Phone
- (402) 915-2159
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
2569 Browne St
Omaha, NE 68111-2046
Mailing address
2569 Browne St
Omaha, NE 68111-2046
Phone (024) 630-7649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1941 S 42nd St
Ste 402D
Omaha, NE 68105
Phone (402) 595-1326
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1972137362
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1457947004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2569 BROWNE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681112046",
"telephone_number": "024-630-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2569 BROWNE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681112046",
"telephone_number": "402-630-7649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC HEALING MIND BODY & SOUL",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-17",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "MCGHEE",
"authorized_official_first_name": "DELICIA",
"authorized_official_middle_name": "CHARLISSE",
"authorized_official_title_or_position": "COUNSLEOR/MENTAL HEALTH",
"authorized_official_telephone_number": "402-915-2159",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW, PLHMP"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children 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 Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.