Active NPI
Kevin J Purcell Jr.
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1528910429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2601
- Practice address
- 1425 N 18TH St
Omaha, NE 68102-4103 - Phone
- (402) 505-3523
- NPI assigned
- Feb 12, 2026
- Last updated
- Feb 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4301 | NE | |
| Clinical Social Worker | 1041C0700X | 2601 | NE | Primary |
Addresses
Primary practice location
1425 N 18TH St
Omaha, NE 68102-4103
Mailing address
16404 Fowler Ave
Omaha, NE 68116-3245
Phone (402) 216-6826
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301 | NE | MD | Mental Health Counselor |
| 2601 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1528910429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16404 FOWLER AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681163245",
"telephone_number": "402-216-6826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N 18TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681024103",
"telephone_number": "402-505-3523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "KEVIN",
"middle_name": "J",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-12",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4301",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "2601",
"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 Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.