Individual provider Active NPI

Caren J Houlton, LMSW, LMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1720236425
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1832, 934 Issued in NE
Practice address
14225 Dayton Cir
Ste 16
Omaha, NE 68137-5567
Phone
(402) 932-0901
NPI assigned
Sep 5, 2008
Last updated
Sep 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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 1832, 934 NE Primary

Addresses

Primary practice location

14225 Dayton Cir
Ste 16
Omaha, NE 68137-5567

Mailing address

500 Willow Ave
Ste 305
Council Bluffs, IA 51503-0827
Phone (712) 256-4420

Other identifiers 1

IdentifierTypeStateIssuer
10025351700MedicaidNE

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
1832, 934NEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1720236425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WILLOW AVE",
            "address_2": "STE 305",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030827",
            "telephone_number": "712-256-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 DAYTON CIR",
            "address_2": "STE 16",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375567",
            "telephone_number": "402-932-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULTON",
        "first_name": "CAREN",
        "middle_name": "J",
        "credential": "LMSW, LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1832, 934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025351700",
            "state": "NE"
        }
    ],
    "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 Sep 5, 2008; 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.