Individual provider Active NPI

Brandon Arthur Gallant

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1689496549
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14065 Issued in NE
Practice address
8601 W Dodge Rd Ste 106
Omaha, NE 68114-3430
Phone
(402) 916-4545
Fax
(531) 213-4131
NPI assigned
Oct 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14065 NE Primary

Addresses

Primary practice location

8601 W Dodge Rd Ste 106
Omaha, NE 68114-3430

Mailing address

8122 S 199TH St
Gretna, NE 68028-5061
Phone (410) 490-3538

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
14065NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Counseling Omaha, LLC CurrentSince Nov 3, 2024 Accepting new patients

Locations

8601 W Dodge Rd
Ste 106
Omaha, NE 68114
Phone (402) 205-8603

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1689496549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 S 199TH ST",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680285061",
            "telephone_number": "410-490-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 W DODGE RD STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143430",
            "telephone_number": "402-916-4545",
            "fax_number": "531-213-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "BRANDON",
        "middle_name": "ARTHUR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "14065",
            "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 Oct 30, 2024; 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.