NPIMap

Organization Active NPI

Servants of Mary

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1760914204
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
734 Issued in NE
Legal business name
SERVANTS OF MARY
Practice address
7400 Military Ave
Omaha, NE 68134-3351
Phone
(402) 951-3066
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Ms. Lisa M SheridanNPI 1669568879
Title
Thearpist
Phone
(402) 951-3066

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 734 NE Primary

Addresses

Primary practice location

7400 Military Ave
Omaha, NE 68134-3351

Mailing address

7400 Military Ave
Omaha, NE 68134-3351
Phone (402) 206-4120

National Provider Directory

National Provider Directory

Locations

7400 Military Ave
Omaha, NE 68134
Phone (402) 206-4120

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1760914204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 MILITARY AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681343351",
            "telephone_number": "402-206-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MILITARY AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681343351",
            "telephone_number": "402-951-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANTS OF MARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THEARPIST",
        "authorized_official_telephone_number": "402-951-3066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "734",
            "primary": true
        }
    ],
    "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 Apr 3, 2017; 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.