Active NPI
Bali Melessike Abena, MS
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1851559306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3710
- Practice address
- 13304 W Center Rd Ste 222
Omaha, NE 68144-3456 - Phone
- (402) 706-1274
- NPI assigned
- May 30, 2008
- Last updated
- Sep 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3710 | NE | Primary |
Addresses
Primary practice location
13304 W Center Rd Ste 222
Omaha, NE 68144-3456
Mailing address
9007 F St
Omaha, NE 68127-1305
Phone (402) 706-1274
Other practice location 1
4905 S 107th Ave
Omaha, NE 68127-1965
Phone (402) 819-1823
Other practice location 2
9007 F St
Omaha, NE 68127-1305
Phone (402) 706-1274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851559306 | Medicaid | NE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | claudemelessike@gmail.com |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3710 | NE | MD | Mental Health Counselor |
Interoperability endpoints
- bali.abena.p1@direct.charlesdrew.nextgenshare.com
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1225818644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1851559306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9007 F ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681271305",
"telephone_number": "402-706-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13304 W CENTER RD STE 222",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443456",
"telephone_number": "402-706-1274"
}
],
"practiceLocations": [
{
"address_1": "4905 S 107th Ave",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681271965",
"country_code": "US",
"telephone_number": "402-819-1823",
"fax_number": "402-819-1824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9007 F St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681271305",
"country_code": "US",
"telephone_number": "402-706-1274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELESSIKE ABENA",
"first_name": "BALI",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851559306",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "claudemelessike@gmail.com",
"affiliation": "N",
"address_1": "4905 S 107th Ave",
"city": "Omaha",
"state": "NE",
"country_code": "US",
"postal_code": "681271965",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.