NPIMap

Organization Active NPI

Integrated Support Services LLC

Doing business as Complete Family Treatment Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
National Provider Identifier
1730647611
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INTEGRATED SUPPORT SERVICES LLC
Doing business as
Complete Family Treatment Services
Practice address
10846 John Galt Blvd
Omaha, NE 68137-2306
Phone
(402) 325-1290
Fax
(402) 817-7312
NPI assigned
Mar 9, 2019
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATED SUPPORT SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
John L Hall, LIMHP, LADCNPI 1053822718
Title
Manager
Phone
(402) 770-3764

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10846 John Galt Blvd
Omaha, NE 68137-2306

Mailing address

9633 Hollow Tree Dr
Lincoln, NE 68512-9535
Phone (402) 770-3764

Other practice location 1

4600 Valley Rd Ste 425
Lincoln, NE 68510-4855
Phone (402) 817-7312

Other names 1

  • Complete Family Treatment Services Doing business as

National Provider Directory

National Provider Directory
Part of
Integrated Support Services LLC

Locations

4600 Valley Rd
Ste 425
Lincoln, NE 68510
Phone (402) 817-7312

10846 John Galt Blvd
Omaha, NE 68137
Phone (402) 325-1290

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1730647611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 HOLLOW TREE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129535",
            "telephone_number": "402-770-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10846 JOHN GALT BLVD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372306",
            "telephone_number": "402-325-1290",
            "fax_number": "402-817-7312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Valley Rd Ste 425",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685104855",
            "country_code": "US",
            "telephone_number": "402-817-7312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED SUPPORT SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED SUPPORT SERVICES LLC",
        "enumeration_date": "2019-03-09",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-770-3764",
        "authorized_official_credential": "LIMHP, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Family Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Complete Family Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 22, 2023; 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.