Individual provider Active NPI

Samantha McCumber, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1871994756
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1662 Issued in NE
Practice address
13906 Gold Cir Ste 202
Omaha, NE 68144-2336
Phone
(402) 932-6500
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 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 10352 NE
Mental Health Counselor 101YM0800X 1662 NE Primary

Addresses

Primary practice location

13906 Gold Cir Ste 202
Omaha, NE 68144-2336

Mailing address

13906 Gold Cir Ste 202
Omaha, NE 68144-2336
Phone (402) 932-6500

Other names 1

  • Samantha Greene Former name

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
10352NEMDMental Health Counselor
1662NEMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1871994756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13906 GOLD CIR STE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442336",
            "telephone_number": "402-932-6500",
            "fax_number": "402-932-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13906 GOLD CIR STE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442336",
            "telephone_number": "402-932-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUMBER",
        "first_name": "SAMANTHA",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10352",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GREENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 21, 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.