Organization Active NPI

Triumphant Mind Counseling, LLC

  • Clinical Social Worker
  • Papillion, NE
National Provider Identifier
1720563570
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRIUMPHANT MIND COUNSELING, LLC
Practice address
11707 S 110TH Ave
Papillion, NE 68046-5555
Phone
(402) 681-3651
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Mr. Roger A Sherman, LICSW, LIMHP, PLMHPNPI 1184135576
Title
Owner
Phone
(402) 681-3651

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11707 S 110TH Ave
Papillion, NE 68046-5555

Mailing address

11707 S 110TH Ave
Papillion, NE 68046-5555
Phone (402) 681-3651

Other identifiers 1

IdentifierTypeStateIssuer
1184135576OtherNPI NUMBER

National Provider Directory

National Provider Directory

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": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1720563570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 S 110TH AVE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465555",
            "telephone_number": "402-681-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 S 110TH AVE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465555",
            "telephone_number": "402-681-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPHANT MIND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-681-3651",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW, LIMHP, PLMHP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1184135576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.