Individual provider Active NPI

Benjamin Czyz, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1861694879
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
104 Issued in NE
Practice address
9140 W Dodge Rd Ste 414
Omaha, NE 68114-3317
Phone
(402) 990-4918
Fax
(531) 466-1335
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3171 NE
Mental Health Counselor 101YM0800X 104 NE Primary

Addresses

Primary practice location

9140 W Dodge Rd Ste 414
Omaha, NE 68114-3317

Mailing address

9140 W Dodge Rd Ste 414
Omaha, NE 68114-3317
Phone (402) 990-4918

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

LicenseStateTypeSpecialty
3171NEMDMental Health Counselor
104NEMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Services, LLC Mental Health CurrentSince Oct 23, 2022 Accepting new patients
Lutheran Family Services of NE, Inc Mental Health PastSince Nov 1, 2009 Accepting new patients

Locations

7909 L St
Omaha, NE 68127
Phone (402) 934-4977

9140 W Dodge Rd
Ste 414
Omaha, NE 68114
Phone (402) 934-4977

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1861694879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 W DODGE RD STE 414",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143317",
            "telephone_number": "402-990-4918",
            "fax_number": "531-466-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 W DODGE RD STE 414",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143317",
            "telephone_number": "402-990-4918",
            "fax_number": "531-466-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZYZ",
        "first_name": "BENJAMIN",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3171",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "104",
            "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 Dec 5, 2022; 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.