Organization Active NPI

Behavior Management Clinic, Inc.

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1841347473
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1649 Issued in NE
Legal business name
BEHAVIOR MANAGEMENT CLINIC, INC.
Practice address
1941 S 42ND St Ste 522
Omaha, NE 68105-2945
Phone
(402) 592-9126
Fax
(402) 408-6727
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul O. Ajuoga
Title
Therapist
Phone
(402) 592-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1649 NE Primary

Addresses

Primary practice location

1941 S 42ND St Ste 522
Omaha, NE 68105-2945

Mailing address

1941 S 42ND St Ste 522
Omaha, NE 68105-2945
Phone (402) 592-9126

National Provider Directory

National Provider Directory

Locations

1941 S 42nd St
Ste 522
Omaha, NE 68105
Phone (402) 592-9126

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841347473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 522",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-592-9126",
            "fax_number": "402-408-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 522",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-592-9126",
            "fax_number": "402-408-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR MANAGEMENT CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AJUOGA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "402-592-9126"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1649",
            "primary": true
        }
    ],
    "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 22, 2020; 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.