Individual provider Active NPI

Fadumo A Hassan, MS, LIMHP, LICSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1790353555
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4382 Issued in NE
Practice address
2566 Saint Marys Ave
Omaha, NE 68105-1655
Phone
(402) 397-5809
Fax
(402) 397-5811
NPI assigned
Jun 16, 2021
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4382 NE Primary
Clinical Social Worker 1041C0700X 2621 NE

Addresses

Primary practice location

2566 Saint Marys Ave
Omaha, NE 68105-1655

Mailing address

2566 Saint Marys Ave
Omaha, NE 68105-1655
Phone (402) 397-5809

Other practice location 1

8333 Cass St
Omaha, NE 68114-3529
Phone (402) 940-7387

Other identifiers 3

IdentifierTypeStateIssuer
10028192901MedicaidNE
10028192902MedicaidNE
10028363100MedicaidNE

Other names 1

  • Ms. Fatuma A Hassan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260514000502 NE Practitioner - Mental Health Counselor 3375012883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Nebraska College of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27012 Pioneer TRL
Silver City, IA 51571-4069

8333 Cass St
Omaha, NE 68114-3529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4382NEMDClinical Social Worker
2621NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Completely Kids CurrentSince Sep 5, 2023 Accepting new patients
Soulutions Therapy, LLC Mental Health CurrentSince Apr 30, 2026 Accepting new patients

Locations

207 Galvin Rd N
Bellevue, NE 68005
Phone (402) 807-5117

2566 Saint Marys Ave
Omaha, NE 68105
Phone (402) 397-5809

8333 Cass St
Omaha, NE 68114
Phone (402) 940-7387

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1790353555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 SAINT MARYS AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051655",
            "telephone_number": "402-397-5809",
            "fax_number": "402-397-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 SAINT MARYS AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051655",
            "telephone_number": "402-397-5809",
            "fax_number": "402-397-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 Cass St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681143529",
            "country_code": "US",
            "telephone_number": "402-940-7387",
            "fax_number": "402-702-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "FADUMO",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, LIMHP, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4382",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028192901",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028192902",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028363100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATUMA",
            "last_name": "HASSAN",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "MS, LCSW, LIMHP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.