Active NPI
James E Kleveter, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1609090703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 578
- Practice address
- 12728 Augusta Ave
Ste. 150
Omaha, NE 68144-3750 - Phone
- (402) 330-1537
- Fax
- (402) 330-9221
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- 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 | 578 | NE | Primary |
Addresses
Primary practice location
12728 Augusta Ave
Ste. 150
Omaha, NE 68144-3750
Mailing address
12728 Augusta Ave
Ste. 150
Omaha, NE 68144-3750
Phone (402) 330-1537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026569500 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 578 | NE | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1609090703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVE",
"address_2": "STE. 150",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443750",
"telephone_number": "402-330-1537",
"fax_number": "402-330-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVE",
"address_2": "STE. 150",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443750",
"telephone_number": "402-330-1537",
"fax_number": "402-330-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEVETER",
"first_name": "JAMES",
"middle_name": "E",
"credential": "LIMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026569500",
"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 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.