Individual provider Active NPI

Adriana P Fegenbush, MS, LMHP, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1740604685
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2241 Issued in NE
Practice address
13304 W Center Rd Ste 203
Omaha, NE 68144-3457
Phone
(402) 512-0083
Fax
(712) 889-0242
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2241 NE Primary

Addresses

Primary practice location

13304 W Center Rd Ste 203
Omaha, NE 68144-3457

Mailing address

13304 W Center Rd Ste 203
Omaha, NE 68144-3457
Phone (402) 512-0083

Other names 1

  • Ms. Adriana Patricia Agudelo Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2241NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Place Therapy Services, LLC Mental Health CurrentSince Oct 20, 2024 Accepting new patients

Locations

13304 W Center Rd
Ste 203
Omaha, NE 68144
Phone (712) 899-0242

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1740604685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443457",
            "telephone_number": "402-512-0083",
            "fax_number": "712-889-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443457",
            "telephone_number": "402-512-0083",
            "fax_number": "712-889-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEGENBUSH",
        "first_name": "ADRIANA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "MS, LMHP, LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "AGUDELO",
            "middle_name": "PATRICIA",
            "prefix": "MS.",
            "credential": "MS, LMHP, LIMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 20, 2026; 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.