Individual provider Active NPI

Angela Marie Naujoks, LIMHP, PCP, MED AIDE

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1508308289
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1750 Issued in NE
Practice address
595 N 155TH PLZ
Omaha, NE 68154-3775
Phone
(402) 401-4027
Fax
(402) 827-6731
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 1750 NE Primary

Addresses

Primary practice location

595 N 155TH PLZ
Omaha, NE 68154-3775

Mailing address

PO Box 45173
Omaha, NE 68145-0173
Phone (402) 401-4027

Other practice location 1

2723 Q St
Omaha, NE 68107-3408
Phone (402) 715-5484

Other identifiers 1

IdentifierTypeStateIssuer
10026799500MedicaidNE

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 Education

State licenses

LicenseStateTypeSpecialty
1750NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Minor Medical PC PastSince Oct 27, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1508308289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45173",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681450173",
            "telephone_number": "402-401-4027",
            "fax_number": "402-827-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N 155TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543775",
            "telephone_number": "402-401-4027",
            "fax_number": "402-827-6731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2723 Q St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681073408",
            "country_code": "US",
            "telephone_number": "402-715-5484",
            "fax_number": "402-715-5493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAUJOKS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "LIMHP, PCP, MED AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026799500",
            "state": "NE"
        }
    ],
    "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 24, 2019; 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.