NPIMap

Organization Active NPI

Associated Counseling Group

  • Mental Health Counselor
  • Fremont, NE
National Provider Identifier
1861949539
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2243 Issued in NE
Legal business name
ASSOCIATED COUNSELING GROUP
Practice address
748 N Main St
Fremont, NE 68025-5004
Phone
(402) 941-7016
Fax
(402) 941-7018
NPI assigned
Sep 9, 2016
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Melissa SharpNPI 1457438152
Title
Licensed Mental Health Practitioner
Phone
(402) 941-7016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2243 NE Primary

Addresses

Primary practice location

748 N Main St
Fremont, NE 68025-5004

Mailing address

748 N Main St
Fremont, NE 68025-5004
Phone (402) 941-7016

Other identifiers 1

IdentifierTypeStateIssuer
10025071000MedicaidNE

National Provider Directory

National Provider Directory

Locations

748 N Main St
Fremont, NE 68025
Phone (402) 941-7016

Practitioners & affiliated clinicians

Practitioners 5

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": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1861949539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 N MAIN ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255004",
            "telephone_number": "402-941-7016",
            "fax_number": "402-941-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 N MAIN ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255004",
            "telephone_number": "402-941-7016",
            "fax_number": "402-941-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH PRACTITIONER",
        "authorized_official_telephone_number": "402-941-7016"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025071000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.