Organization Active NPI

Deborah Grace Thimsen-Villa Dba Verigratia Counseling

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1699327098
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DEBORAH GRACE THIMSEN-VILLA DBA VERIGRATIA COUNSELING
Practice address
1917 W Faidley Ave
Grand Island, NE 68803-4642
Phone
(308) 398-0350
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Deborah Grace Thimsen-Villa, MA, LIMHPNPI 1932652583
Title
Owner
Phone
(402) 984-4508

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 SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1917 W Faidley Ave
Grand Island, NE 68803-4642

Mailing address

1917 W Faidley Ave
Grand Island, NE 68803-4642
Phone (402) 984-4508

Other identifiers 1

IdentifierTypeStateIssuer
1002680080MedicaidNE

National Provider Directory

National Provider Directory

Locations

312 N Elm St
Ste 124
Grand Island, NE 68801

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": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1699327098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034642",
            "telephone_number": "402-984-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034642",
            "telephone_number": "308-398-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH GRACE THIMSEN-VILLA DBA VERIGRATIA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "THIMSEN-VILLA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-984-4508",
        "authorized_official_credential": "MA, LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002680080",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.