Individual provider Active NPI

Tale Dekpo-Mahlagidi, MS

  • Counselor
  • Omaha, NE
National Provider Identifier
1841487089
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1941 S 42ND St Ste 514
Omaha, NE 68105-2981
Phone
(402) 614-8444
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NE Primary

Addresses

Primary practice location

1941 S 42ND St Ste 514
Omaha, NE 68105-2981

Mailing address

1941 S 42ND St Ste 514
Omaha, NE 68105-2981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424001814 NE Practitioner - Mental Health Counselor 7911347919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4611 S 96TH St
Suite 122
Omaha, NE 68127-1240
Phone (402) 378-5434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2834NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comforting Healing Counseling CurrentSince Jan 1, 2024 Accepting new patients
Capstone Behavioral Health, Inc. PastSince Aug 16, 2011 Accepting new patients

Locations

4611 S 96th St
Ste 122
Omaha, NE 68127
Phone (402) 378-5434

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1841487089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 514",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 514",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052981",
            "telephone_number": "402-614-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKPO-MAHLAGIDI",
        "first_name": "TALE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.