Organization Active NPI

Robert Broekemeier Counseling, LLC

  • Counselor
  • Omaha, NE
National Provider Identifier
1609385103
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4053 Issued in NE
Legal business name
ROBERT BROEKEMEIER COUNSELING, LLC
Practice address
268 N 115TH St Ste 1
Omaha, NE 68154-2502
Phone
(402) 964-1564
Fax
(402) 260-7125
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert A Broekemeier, LMHPNPI 1477851624
Title
Therapist
Phone
(402) 965-1564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 4053 NE Primary

Addresses

Primary practice location

268 N 115TH St Ste 1
Omaha, NE 68154-2502

Mailing address

268 N 115TH St Ste 1
Omaha, NE 68154-2502
Phone (402) 964-1564

National Provider Directory

National Provider Directory

Locations

268 N 115th St
Ste 1
Omaha, NE 68154
Phone (402) 403-9469

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609385103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 N 115TH ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542502",
            "telephone_number": "402-964-1564",
            "fax_number": "402-260-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 N 115TH ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542502",
            "telephone_number": "402-964-1564",
            "fax_number": "402-260-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BROEKEMEIER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROEKEMEIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "402-965-1564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NE",
            "license": "4053",
            "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 Jul 21, 2022; 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.