Individual provider Active NPI

Brooke Storm, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1629513122
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10797 Issued in NE
Practice address
10866 Newport Ave
Omaha, NE 68164-1242
Phone
(402) 979-4577
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10797 NE Primary

Addresses

Primary practice location

10866 Newport Ave
Omaha, NE 68164-1242

Mailing address

10866 Newport Ave
Omaha, NEBRASKA 68164
UM
Phone (402) 614-9092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415003868 NE Practitioner - Mental Health Counselor 8729427380 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10797NEMDMental Health Counselor
3507NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooke Gundrum Storm Ms Plmhp Mental Health CurrentSince Mar 5, 2024 Accepting new patients
Hope Collaborative LLC Mental Health Past Accepting new patients

Locations

8790 F St
Ste 113
Omaha, NE 68127
Phone (531) 242-9489

Organizations & group practices 2

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": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1629513122",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "10866 NEWPORT AVE",
            "city": "OMAHA",
            "state": "NEBRASKA",
            "postal_code": "68164",
            "telephone_number": "402-614-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10866 NEWPORT AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641242",
            "telephone_number": "402-979-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.