Moreno Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MORENO THERAPY

Practice address

256 N 115TH St Ste 3
Omaha, NE 68154-2558

Phone

(402) 660-9555

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Dominique Ray Moreno, LIMHPNPI 1790238665

Title

Therapist

Phone

(402) 660-9555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominique Ray Moreno, LIMHP

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1790238665
  Medicare reassignment NPD Authorized official
• Matthew James Vera, MS, PLMHP

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1164316709
  NPD
• Vesper D Lathary

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1174191746
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1851916373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N 115TH ST STE 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542558",
            "telephone_number": "402-660-9555",
            "fax_number": "402-914-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 N 115TH ST STE 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542558",
            "telephone_number": "402-660-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "402-660-9555",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790238665",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Hilda Morelos
• Camila Moreno Amengual
• Norma Moreno Nolazco
• Yaser Moreno Obregon
• Hilda Moreno Olivarez
• Moreno Therapy P.C., LLC
• Amariyah Dominikue Moreno
• Anaya Aaliyah Moreno I
• Anita Maria Moreno I
• Ashanty Moreno

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.