Organization Active NPI

Women'S Therapy and Learning Center, Inc

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1881712990
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25 Issued in NE
Legal business name
WOMEN'S THERAPY AND LEARNING CENTER, INC
Practice address
7701 Pacific St
Ste 122
Omaha, NE 68114-5480
Phone
(402) 398-9852
Fax
(402) 398-9852
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Authorized official

Name
Kathleen O'ConnorNPI 1083762124
Title
Owner
Phone
(402) 398-9852

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 25 NE Primary

Addresses

Primary practice location

7701 Pacific St
Ste 122
Omaha, NE 68114-5480

Mailing address

7701 Pacific St
Omaha, NE 68114-5480
Phone (402) 398-9852

Other identifiers 1

IdentifierTypeStateIssuer
82035OtherNEBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140131001243 NE Part B Supplier - Clinic/Group Practice 4486883030 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

7701 Pacific St
Ste 122
Omaha, NE 68114
Phone (402) 398-9852

7701 Pacific St
Omaha, NE 68114
Phone (402) 390-6007

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1881712990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145480",
            "telephone_number": "402-398-9852",
            "fax_number": "402-398-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 PACIFIC ST",
            "address_2": "STE 122",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145480",
            "telephone_number": "402-398-9852",
            "fax_number": "402-398-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S THERAPY AND LEARNING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-398-9852"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "82035",
            "state": "NE"
        }
    ],
    "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 Jan 20, 2014; 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.