Theresa M O'Halloran, ED.D., LIMHP, CPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

679 Issued in NE

Practice address

12822 Augusta Ave
Omaha, NE 68144-3733

Phone

(402) 403-0190

Fax

(402) 932-4121

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Attachment and Trauma Center of Nebraska, LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1881866929
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1730212168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12822 AUGUSTA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443733",
            "telephone_number": "402-403-0190",
            "fax_number": "402-932-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12822 AUGUSTA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443733",
            "telephone_number": "402-403-0190",
            "fax_number": "402-932-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HALLORAN",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ED.D., LIMHP, CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1584",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "679",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "193",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025627300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanne L O'Flaherty
• Jaimie O'Gara
• Jessica O'Garro, ED.S.
• Laurie O'Gorman
• Jennifer A O'Grady, PHARM D
• Roderick Delphino O'Handley
• Lynn D O'Hanlon, MD
• Olivia Scarlett O'Hara
• Sheena Marie O'Kane
• Aliyah Marie O'Keefe

• 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 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.