NPIMap

Organization Active NPI

St Benedict the Moor Catholic Church

  • Counseling Psychologist
  • Omaha, NE
National Provider Identifier
1811247299
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
#2859 Issued in NE
Legal business name
ST BENEDICT THE MOOR CATHOLIC CHURCH
Doing business as
Bryant Center Association
Practice address
2423 Grant St
Omaha, NE 68111
Phone
(402) 844-2605
NPI assigned
Sep 13, 2012
Organization subpart
Yes
Parent organization
ST. BENEDICT THE MOOR CATHOLIC CHURCH/BRYANT CENTER ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Ms. Theresa Glass Union
Title
Board Member Bryant Center Associat
Phone
(402) 884-2605

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X #2859 NE Primary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X #928 NE

Addresses

Primary practice location

2423 Grant St
Omaha, NE 68111

Mailing address

2423 Grant St
Omaha, NE 68111
Phone (402) 844-2605

Other names 1

  • Bryant Center Association Doing business as

National Provider Directory

National Provider Directory
Part of
St Benedict the Moor Catholic Church

Locations

2423 Grant St
Omaha, NE 68111
Phone (402) 844-2605

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1811247299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68111",
            "telephone_number": "402-844-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68111",
            "telephone_number": "402-844-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BENEDICT THE MOOR CATHOLIC CHURCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. BENEDICT THE MOOR CATHOLIC CHURCH/BRYANT CENTER ASSOCIATION",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "UNION",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "GLASS",
        "authorized_official_title_or_position": "BOARD MEMBER BRYANT CENTER ASSOCIAT",
        "authorized_official_telephone_number": "402-884-2605",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NE",
            "license": "#2859",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NE",
            "license": "#928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryant Center Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2012; 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.