Organization Active NPI

Able Therapy, Inc.

Doing business as Amber R. Bradley

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1689702276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2978 Issued in NE
Legal business name
ABLE THERAPY, INC.
Doing business as
Amber R. Bradley
Practice address
11912 Elm St
#117
Omaha, NE 68144-4443
Phone
(402) 480-4819
Fax
(402) 763-9435
NPI assigned
Mar 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Amber Renee Bradley, MS, LMHP, NCCNPI 1710921283
Title
Outpatient Therapist
Phone
(402) 480-4819

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 Counselor 101YM0800X 2978 NE Primary

Addresses

Primary practice location

11912 Elm St
#117
Omaha, NE 68144-4443

Mailing address

2916 S 132ND St
#122
Omaha, NE 68144-3409
Phone (402) 480-4819

Other identifiers 1

IdentifierTypeStateIssuer
10025338700MedicaidNE

Other names 1

  • Amber R. Bradley Doing business as

National Provider Directory

National Provider Directory

Locations

11912 Elm St
Ste 117
Omaha, NE 68144
Phone (402) 480-4819

Practitioners & affiliated clinicians

Practitioners 2

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689702276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 S 132ND ST",
            "address_2": "#122",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443409",
            "telephone_number": "402-480-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 ELM ST",
            "address_2": "#117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444443",
            "telephone_number": "402-480-4819",
            "fax_number": "402-763-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "402-480-4819",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMHP, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025338700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amber R. Bradley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.