Organization Active NPI

Bliss Psychotherapy & Consulting, LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1801671672
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLISS PSYCHOTHERAPY & CONSULTING, LLC
Practice address
3706 S 132ND St
Omaha, NE 68144-3608
Phone
(646) 377-2320
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Edwige Bienvenue Ilboudo, PLMHP/PCMSWNPI 1750019444
Title
Behavioral Health Therapist
Phone
(646) 377-2320

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Social Worker 104100000X NU

Addresses

Primary practice location

3706 S 132ND St
Omaha, NE 68144-3608

Mailing address

3706 S 132ND St
Omaha, NE 68144-3608

National Provider Directory

National Provider Directory

Locations

3706 S 132nd St
Omaha, NE 68144
Phone (646) 377-2320

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": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1801671672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443608",
            "telephone_number": "646-377-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS PSYCHOTHERAPY & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "ILBOUDO",
        "authorized_official_first_name": "EDWIGE",
        "authorized_official_middle_name": "BIENVENUE",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "646-377-2320",
        "authorized_official_credential": "PLMHP/PCMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 29, 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.

Verify at the official NPI Registry.