NPIMap

Organization Active NPI

Mind Over Matter Counseling Services LLC

  • Adult Mental Health Clinic/Center
  • Papillion, NE
National Provider Identifier
1750872149
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
5045 Issued in NE
Legal business name
MIND OVER MATTER COUNSELING SERVICES LLC
Practice address
955 N Adams St Ste 8
Papillion, NE 68046-3080
Phone
(531) 444-1963
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Myisha Parsha, LIMHPNPI 1568829661
Title
Owner
Phone
(531) 444-1963

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
Adult Mental Health Clinic/Center 261QM0850X 5045 NE Primary

Addresses

Primary practice location

955 N Adams St Ste 8
Papillion, NE 68046-3080

Mailing address

955 N Adams St Ste 8
Papillion, NE 68046-3080
Phone (531) 444-1963

Other names 1

  • Omaha Trauma Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230607002790 NE Part B Supplier - Clinic/Group Practice 4284091125 Receives reassigned benefits from 7 practitioners
Practice locations: Papillion, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1750872149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N ADAMS ST STE 8",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463080",
            "telephone_number": "531-444-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N ADAMS ST STE 8",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463080",
            "telephone_number": "531-444-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OVER MATTER COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "PARSHA",
        "authorized_official_first_name": "MYISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "531-444-1963",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NE",
            "license": "5045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omaha Trauma Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.