Individual provider Active NPI

John E Nunamaker, LIMHP

  • Mental Health Counselor
  • Bellevue, NE
National Provider Identifier
1497034045
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
771 Issued in NE
Practice address
3308 Samson Way
Suite 203
Bellevue, NE 68123-3234
Phone
(402) 717-7681
Fax
(402) 291-8806
NPI assigned
Aug 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 771 NE Primary

Addresses

Primary practice location

3308 Samson Way
Suite 203
Bellevue, NE 68123-3234

Mailing address

PO Box 641130
Omaha, NE 68164-7130

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

State licenses

LicenseStateTypeSpecialty
771NEMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1497034045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641130",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 SAMSON WAY",
            "address_2": "SUITE 203",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681233234",
            "telephone_number": "402-717-7681",
            "fax_number": "402-291-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNAMAKER",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.