Active NPI
Magda Maria Blanco, LMHC, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1851537302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 869
- Practice address
- 1941 South 42ND St Suite 541
Suite 541
Omaha, NE 68105 - Phone
- (402) 934-4618
- Fax
- (402) 934-4628
- NPI assigned
- Jan 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 7719 | FL | |
| Mental Health Counselor | 101YM0800X | 869 | NE | Primary |
Addresses
Primary practice location
1941 South 42ND St Suite 541
Suite 541
Omaha, NE 68105
Mailing address
1941 South 42ND St Suite 541
Suite 541
Omaha, NE 68105
Phone (402) 934-4618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 7719 | FL | MD | Mental Health Counselor |
| 869 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1851537302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 SOUTH 42ND ST SUITE 541",
"address_2": "SUITE 541",
"city": "OMAHA",
"state": "NE",
"postal_code": "68105",
"telephone_number": "402-934-4618",
"fax_number": "402-934-4628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 SOUTH 42ND ST SUITE 541",
"address_2": "SUITE 541",
"city": "OMAHA",
"state": "NE",
"postal_code": "68105",
"telephone_number": "402-934-4618",
"fax_number": "402-934-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "MAGDA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "LMHC, LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 7719",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "869",
"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 Oct 13, 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.