Organization Active NPI

Kelley Unidas Inc.

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1689125494
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KELLEY UNIDAS INC.
Practice address
2645 O St
Lincoln, NE 68510-1340
Phone
(402) 310-0115
Fax
(402) 277-4247
NPI assigned
Oct 17, 2016
Organization subpart
Yes
Parent organization
KELLEY UNIDAS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Mr. Anthony Kelley, LIMHP, LPC, LADCNPI 1407168974
Title
Mental Health Practitioner
Phone
(402) 310-0115

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
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2645 O St
Lincoln, NE 68510-1340

Mailing address

236 S 27TH St
Lincoln, NE 68510-1309
Phone (402) 310-0115

Other names 1

  • Faith, Hope & Clarity Counseling Doing business as

National Provider Directory

National Provider Directory
Part of
Kelley Unidas Inc

Locations

2645 O St
Lincoln, NE 68510
Phone (402) 310-0115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1689125494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101309",
            "telephone_number": "402-310-0115",
            "fax_number": "402-477-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101340",
            "telephone_number": "402-310-0115",
            "fax_number": "402-277-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY UNIDAS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KELLEY UNIDAS INC.",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MENTAL HEALTH PRACTITIONER",
        "authorized_official_telephone_number": "402-310-0115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIMHP, LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith, Hope & Clarity Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.