Organization Active NPI

Central Counseling Associates

  • Professional Counselor
  • Omaha, NE
National Provider Identifier
1740332691
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
618 Issued in NE
Legal business name
CENTRAL COUNSELING ASSOCIATES
Practice address
4848 S 120TH St
Ste 410
Omaha, NE 68137-2065
Phone
(402) 393-1647
Fax
(402) 333-0556
NPI assigned
Jan 18, 2007
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Ms. Jane Dodson Martin, MS
Title
Psychtherapist
Phone
(402) 393-1647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 618 NE Primary
Clinical Psychologist 103TC0700X 262 NE

Addresses

Primary practice location

4848 S 120TH St
Ste 410
Omaha, NE 68137-2065

Mailing address

4848 S 120TH St
Ste 410
Omaha, NE 68137-2065
Phone (402) 393-1647

National Provider Directory

National Provider Directory

Locations

4848 S 120th St
Ste 410
Omaha, NE 68137
Phone (402) 393-1647

6818 Grover St
Ste 301
Omaha, NE 68106
Phone (402) 393-1647

Practitioners & affiliated clinicians

Practitioners 2

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1740332691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 S 120TH ST",
            "address_2": "STE 410",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372065",
            "telephone_number": "402-393-1647",
            "fax_number": "402-333-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 S 120TH ST",
            "address_2": "STE 410",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372065",
            "telephone_number": "402-393-1647",
            "fax_number": "402-333-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "DODSON MARTIN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PSYCHTHERAPIST",
        "authorized_official_telephone_number": "402-393-1647",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "618",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "262",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 24, 2016; 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.