Organization Active NPI

Nancy Cunningham

  • Mental Health Counselor
  • Fremont, NE
National Provider Identifier
1619211778
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3955 Issued in NE
Legal business name
NANCY CUNNINGHAM
Practice address
230 E 22ND St
Suite 3
Fremont, NE 68025-2661
Phone
(402) 721-8805
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Nancy Cunningham, LMHP
Title
Mental Health Therapist
Phone
(402) 721-8805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 3955 NE Primary

Addresses

Primary practice location

230 E 22ND St
Suite 3
Fremont, NE 68025-2661

Mailing address

230 E 22ND St
Suite 3
Fremont, NE 68025-2661
Phone (402) 721-8805

Other identifiers 1

IdentifierTypeStateIssuer
10026115300MedicaidNE

National Provider Directory

National Provider Directory

Locations

230 E 22nd St
Ste 3
Fremont, NE 68025
Phone (402) 720-3498

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1619211778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 22ND ST",
            "address_2": "SUITE 3",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252661",
            "telephone_number": "402-721-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 22ND ST",
            "address_2": "SUITE 3",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252661",
            "telephone_number": "402-721-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY CUNNINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "402-721-8805",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026115300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.