Active NPI
Marcia Ghali Bergren
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1659794113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1547
- Practice address
- 1812 N 169TH PLZ
Omaha, NE 68118-2809 - Phone
- (402) 934-1617
- Fax
- (402) 834-5225
- NPI assigned
- Feb 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1685 | NE | |
| Mental Health Counselor | 101YM0800X | 1547 | NE | Primary |
Addresses
Primary practice location
1812 N 169TH PLZ
Omaha, NE 68118-2809
Mailing address
2031 N 62ND St
Omaha, NE 68104-4705
Other practice location 1
2101 S 42nd St
Omaha, NE 68105-2947
Phone (402) 553-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2126 N 117TH Ave
Omaha, NE 68164-3670
Phone (402) 934-1617
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Omaha, NE
- NPI 1023302247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1659794113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 N 62ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681044705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 N 169TH PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182809",
"telephone_number": "402-934-1617",
"fax_number": "402-834-5225"
}
],
"practiceLocations": [
{
"address_1": "2101 S 42nd St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681052947",
"country_code": "US",
"telephone_number": "402-553-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHALI BERGREN",
"first_name": "MARCIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-03",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1685",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1547",
"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 Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.