Individual provider Active NPI

Nicole Marie Timm, M.A.

  • Behavior Analyst
  • Papillion, NE
National Provider Identifier
1629459318
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27146 Issued in NE
Practice address
11446 Valley Ridge Dr Ste 117
Papillion, NE 68046-6271
Phone
(402) 916-4539
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5645 NE
Behavior Analyst 103K00000X 1-17-27146 NE Primary

Addresses

Primary practice location

11446 Valley Ridge Dr Ste 117
Papillion, NE 68046-6271

Mailing address

11446 Valley Ridge Dr Ste 117
Papillion, NE 68046-6271
Phone (402) 916-4539

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 Arts

State licenses

LicenseStateTypeSpecialty
5645NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spectra Behavioral Health, LLC Mental Health CurrentSince Jun 1, 2022 Accepting new patients
Cohrs Behavioral Consulting, LLC Mental Health Past Accepting new patients
Childhood Autism Services Inc Behavior Analyst PastSince Nov 24, 2025 Accepting new patients

Locations

1235 S 75th St
Omaha, NE 68124
Phone (402) 204-8049

10820 Harney St
Omaha, NE 68154
Phone (402) 204-8049

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1629459318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11446 VALLEY RIDGE DR STE 117",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466271",
            "telephone_number": "402-916-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11446 VALLEY RIDGE DR STE 117",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466271",
            "telephone_number": "402-916-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMM",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5645",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NE",
            "license": "1-17-27146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.