Midwest Mental Health Therapy, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIDWEST MENTAL HEALTH THERAPY, PC

Practice address

13304 W Center Rd Ste 110
Omaha, NE 68144-3453

Phone

(402) 577-0271

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerrie Wellman, LIMHPNPI 1245422195

Title

Clinical Therapist

Phone

(402) 659-6941

Specialties & licenses 1

Addresses

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.

• Kerrie R Wellman, LIMHP, LMHC, LCPC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1245422195
  NPD Authorized official

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1679183255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 S 188TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353665",
            "telephone_number": "402-659-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443453",
            "telephone_number": "402-577-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MENTAL HEALTH THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "402-659-6941",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.