Individual provider Active NPI

Coral Elizabeth Frazell

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1629375100
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1434 Issued in NE
Practice address
4545 Dodge St
Omaha, NE 68132-3251
Phone
(402) 553-2721
NPI assigned
Feb 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 917 NE
Mental Health Counselor 101YM0800X 1434 NE Primary

Addresses

Primary practice location

4545 Dodge St
Omaha, NE 68132-3251

Mailing address

4545 Dodge St
Omaha, NE 68132-3251
Phone (402) 553-2721

Other names 1

  • Dr. Coral Elizabeth Frazell Professional name

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

LicenseStateTypeSpecialty
917NEMDProfessional Counselor
1434NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Saving Institute Mental Health CurrentSince Aug 10, 2025 Accepting new patients
St. Monica'S Past Accepting new patients
St. Monica'S Past Accepting new patients

Locations

4545 Dodge St
Omaha, NE 68132
Phone (402) 553-2721

Organizations & group practices 3

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": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1629375100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323251",
            "telephone_number": "402-553-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323251",
            "telephone_number": "402-553-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZELL",
        "first_name": "CORAL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "917",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORAL",
            "last_name": "FRAZELL",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PHD, MA, LIMHP, LADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 22, 2024; 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.