Active NPI
Kindis Ward, PLMHP, MSCC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1770946105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10832
- Practice address
- 7319 N 143Rd St
Omaha, NE 68142-2133 - Phone
- (402) 917-7105
- NPI assigned
- Apr 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10832 | NE | |
| Mental Health Counselor | 101YM0800X | 10832 | NE | Primary |
Addresses
Primary practice location
7319 N 143Rd St
Omaha, NE 68142-2133
Mailing address
7319 N 143Rd St
Omaha, NE 68142-2133
Phone (402) 917-7105
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10832 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beneficial Behavioral Health Services, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1316020555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1770946105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7319 N 143RD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681422133",
"telephone_number": "402-917-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7319 N 143RD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681422133",
"telephone_number": "402-917-7105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "KINDIS",
"credential": "PLMHP, MSCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-02",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "10832",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10832",
"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 Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.