Old Mill Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1001 Issued in NE

Legal business name

OLD MILL COUNSELING, LLC

Practice address

712 W Koenig St
Grand Island, NE 68801-6556

Phone

(308) 382-4495

Fax

(308) 385-0407

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David Rehov Sky, M.S.MANAGER

Title

Manager

Phone

(308) 382-4495

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1811203722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 W KOENIG ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016556",
            "telephone_number": "308-382-4495",
            "fax_number": "308-385-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W KOENIG ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016556",
            "telephone_number": "308-382-4495",
            "fax_number": "308-385-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD MILL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "REHOV SKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "308-382-4495",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.MANAGER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "1001",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "1330",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "9115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10055871100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley A Oakley
• Karla K Obermeier, PHARM.D.
• Jama L. Obermiller, DDS
• Katelyn Obermiller, PT, DPT
• Old Mill Counseling
• Christina Olena
• Claudia Lorena Oliva Carrera
• Anson Jeffrey Oliver
• Kevin Michael Oliver, CRNA
• Lisa Oliver

• Community/Behavioral Health Agency in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Community/Behavioral Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.