Individual provider Active NPI

Clairissa Frances Nardini, MH

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1649046723
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13704 Issued in NE
Practice address
13304 W Center Rd Ste 221
Omaha, NE 68144-3453
Phone
(402) 671-3750
Fax
(402) 872-0835
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 13704 NE Primary

Addresses

Primary practice location

13304 W Center Rd Ste 221
Omaha, NE 68144-3453

Mailing address

13304 W Center Rd Ste 221
Omaha, NE 68144-3453
Phone (402) 671-3750

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
13704NEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1649046723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 221",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443453",
            "telephone_number": "402-671-3750",
            "fax_number": "402-872-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 221",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443453",
            "telephone_number": "402-671-3750",
            "fax_number": "402-872-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDINI",
        "first_name": "CLAIRISSA",
        "middle_name": "FRANCES",
        "credential": "MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13704",
            "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 Nov 29, 2023; 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.