Active NPI
Maryann Calta, LCSW,CMSW LMHP, MDIV
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1811050685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1505
- Practice address
- 1403 Farnam St
Suite 215
Omaha, NE 68102-2200 - Phone
- (402) 393-0642
- Fax
- (402) 391-2641
- NPI assigned
- Dec 19, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1505 | NE | Primary |
| Professional Counselor | 101YP2500X | 1505 | NE | |
| Clinical Social Worker | 1041C0700X | 1505 | NE |
Addresses
Primary practice location
1403 Farnam St
Suite 215
Omaha, NE 68102-2200
Mailing address
1403 Farnam St
Suite 215
Omaha, NE 68102-2200
Phone (402) 393-0642
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 791 | NE | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1811050685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 FARNAM ST",
"address_2": "SUITE 215",
"city": "OMAHA",
"state": "NE",
"postal_code": "681022200",
"telephone_number": "402-393-0642",
"fax_number": "402-391-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 FARNAM ST",
"address_2": "SUITE 215",
"city": "OMAHA",
"state": "NE",
"postal_code": "681022200",
"telephone_number": "402-393-0642",
"fax_number": "402-391-2641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALTA",
"first_name": "MARYANN",
"credential": "LCSW,CMSW LMHP, MDIV",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1505",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1505",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1505",
"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 Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.