NPIMap

Organization Active NPI

Success 4 Kids Therapy

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1750747937
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4371 Issued in NE
Legal business name
SUCCESS 4 KIDS THERAPY
Practice address
11905 P St
Ste # 105
Omaha, NE 68137-2237
Phone
(402) 681-5181
Fax
(402) 884-0856
NPI assigned
Jan 4, 2016
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Christina M Johnson-Gunn, LMHPNPI 1558657478
Title
President
Phone
(402) 681-5181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4371 NE Primary

Addresses

Primary practice location

11905 P St
Ste # 105
Omaha, NE 68137-2237

Mailing address

11905 P St
Ste # 105
Omaha, NE 68137-2237
Phone (402) 681-5181

Other names 1

  • Christina M Johnson-Gunn Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1750747937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 P ST",
            "address_2": "STE # 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372237",
            "telephone_number": "402-681-5181",
            "fax_number": "402-884-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 P ST",
            "address_2": "STE # 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372237",
            "telephone_number": "402-681-5181",
            "fax_number": "402-884-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS 4 KIDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-GUNN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-681-5181",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christina M Johnson-Gunn",
            "code": "5",
            "type": "Other 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 4, 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.