Individual provider Active NPI

Barbara Dorothea Grandt, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
National Provider Identifier
1477127496
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
743 Issued in NE
Practice address
1941 S 42ND St Ste 210
Omaha, NE 68105-2946
Phone
(402) 341-6220
Fax
(402) 341-6218
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 743 NE Primary

Addresses

Primary practice location

1941 S 42ND St Ste 210
Omaha, NE 68105-2946

Mailing address

1941 S 42ND St Ste 210
Omaha, NE 68105-2946
Phone (402) 341-6220

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

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1477127496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052946",
            "telephone_number": "402-341-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052946",
            "telephone_number": "402-341-6220",
            "fax_number": "402-341-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDT",
        "first_name": "BARBARA",
        "middle_name": "DOROTHEA",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "743",
            "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 May 14, 2021; 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.