Individual provider Active NPI

Eric Scott McDougle Sr., M.S., LMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1568500296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2993 LMHP Issued in NE
Practice address
5951 Ames Ave
Omaha, NE 68104-2705
Phone
(402) 457-5761
Fax
(402) 457-1997
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2993 LMHP NE Primary

Addresses

Primary practice location

5951 Ames Ave
Omaha, NE 68104-2705

Mailing address

7911 Newport Ave
Omaha, NE 68122-1638
Phone (402) 813-1104

Other identifiers 2

IdentifierTypeStateIssuer
85658OtherNEBCBSNE PROVIDER NUMBER
2993OtherNELMHP

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 Science

State licenses

LicenseStateTypeSpecialty
2993 LMHPNEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nu Beginnings Treatment Foster Care 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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568500296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 NEWPORT AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221638",
            "telephone_number": "402-813-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042705",
            "telephone_number": "402-457-5761",
            "fax_number": "402-457-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGLE",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "M.S., LMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2993 LMHP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE PROVIDER NUMBER",
            "identifier": "85658",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHP",
            "identifier": "2993",
            "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 Jul 8, 2007; 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.