NPIMap

Organization Active NPI

Psychological & Counseling Services, P.C.

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1851508956
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
265, 412 Issued in NE
Legal business name
PSYCHOLOGICAL & COUNSELING SERVICES, P.C.
Practice address
12728 Augusta Ave
Suite 150
Omaha, NE 68144-3754
Phone
(402) 330-1537
Fax
(402) 330-9331
NPI assigned
May 17, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Timothy Charles Evans, PHD
Title
President
Phone
(402) 330-1537

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 265, 412 NE Primary
Psychologist 103T00000X 380 NE
Clinical Psychologist 103TC0700X 77 NE
Social Worker 104100000X 44 NE
Social Worker 104100000X 269 NE

Addresses

Primary practice location

12728 Augusta Ave
Suite 150
Omaha, NE 68144-3754

Mailing address

12728 Augusta Ave
Suite 150
Omaha, NE 68144-3754
Phone (402) 330-1537

National Provider Directory

National Provider Directory

Locations

12728 Augusta Ave
Ste 150
Omaha, NE 68144
Phone (402) 330-1537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1851508956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 AUGUSTA AVE",
            "address_2": "SUITE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443754",
            "telephone_number": "402-330-1537",
            "fax_number": "402-330-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 AUGUSTA AVE",
            "address_2": "SUITE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443754",
            "telephone_number": "402-330-1537",
            "fax_number": "402-330-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL & COUNSELING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-330-1537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "265, 412",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "380",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "77",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "44",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "269",
            "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 Apr 20, 2008; 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.