Individual provider Active NPI

Eileen Marie Gaters, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1538489232
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9153 Issued in NE
Practice address
10625 Calhoun Rd
Omaha, NE 68112-1324
Phone
(402) 457-1355
Fax
(402) 457-1406
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 9153 NE Primary

Addresses

Primary practice location

10625 Calhoun Rd
Omaha, NE 68112-1324

Mailing address

10625 Calhoun Rd
Omaha, NE 68112-1324
Phone (402) 457-1355

Other identifiers 1

IdentifierTypeStateIssuer
10025057600MedicaidNE

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1538489232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 CALHOUN RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681121324",
            "telephone_number": "402-457-1355",
            "fax_number": "402-457-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 CALHOUN RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681121324",
            "telephone_number": "402-457-1355",
            "fax_number": "402-457-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATERS",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025057600",
            "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 Aug 4, 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.