Summer Oberndorfer

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3325 Issued in NE

Practice address

6818 Grover St Ste 102
Omaha, NE 68106-3632

Phone

(402) 383-2801

NPI assigned

Jun 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Summer Nielsen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• S.O. Counseling LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1356126544
  NPD Authorized official

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1699404848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505 GRAND AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681164221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 GROVER ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063632",
            "telephone_number": "402-383-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERNDORFER",
        "first_name": "SUMMER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-05",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "NIELSEN",
            "credential": "LIMHP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason Paul Oberg, CRNA
• Anthony Oberle, M.D.
• Grace Melissa Oberle
• Nicholas C Oberle
• Mark E Oberlies, MD
• Imani Obi
• Ann Obiesie
• Nicole Marie Obrecht, LMHP
• Heather A Obregon, MD
• Kathleen A Obrien-Ausman, D.D.S.

• 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 Feb 20, 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.