Active NPI
Angela Marie Naujoks, LIMHP, PCP, MED AIDE
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1508308289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1750
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026799500 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1750 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Minor Medical PC | Past | 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.
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1770677601
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.