Organization Active NPI

Buoyant Family Services Counseling and Consulting LLC

  • Community/Behavioral Health Agency
  • Omaha, NE
National Provider Identifier
1679018030
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1435 Issued in NE
Legal business name
BUOYANT FAMILY SERVICES COUNSELING AND CONSULTING LLC
Practice address
The Center 1941 South 42ND Street
Suite 416 S
Omaha, NE 68105
Phone
(402) 905-1120
NPI assigned
Dec 21, 2016
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Betty Kola, LIMHPNPI 1568860138
Title
Director
Phone
(402) 905-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1435 NE Primary

Addresses

Primary practice location

The Center 1941 South 42ND Street
Suite 416 S
Omaha, NE 68105

Mailing address

The Center 1941 South 42ND Street
Suite 416 S
Omaha, NE 68105
Phone (402) 905-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627002692 NE Part B Supplier - Clinic/Group Practice 6608389176 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

1941 S 42nd St
Ste 416S
Omaha, NE 68105
Phone (402) 905-1120

5015 Dodge St
Ste 300
Omaha, NE 68132
Phone (402) 933-7577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1679018030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE CENTER 1941 SOUTH 42ND STREET",
            "address_2": "SUITE 416 S",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68105",
            "telephone_number": "402-905-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE CENTER 1941 SOUTH 42ND STREET",
            "address_2": "SUITE 416 S",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68105",
            "telephone_number": "402-905-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUOYANT FAMILY SERVICES COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "KOLA",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-905-1120",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "1435",
            "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 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.