Nicole R Conner, LIMHP

Individual provider Active NPI Mental Health Counselor · Omaha, NE

NPI 1740486174 · NPPES record last updated Feb 12, 2024

Key facts

NPI
1740486174
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
1462 (NE)
Practice address
1941 S 42ND St Ste 328
Omaha, NE 68105-2943
Phone
(402) 614-4444
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1462NEMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1462 NE Yes

Addresses

Primary practice location

1941 S 42ND St Ste 328
Omaha, NE 68105-2943

Mailing address

28627 Jessie Cir
Valley, NE 68064-1688
Phone (402) 578-3498

Other providers in Omaha, NE

All providers in Omaha, NE · Mental Health Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.