Active NPI
Renewal Mental Health Services
- Counselor
- Omaha, NE
National Provider Identifier
1881851707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 52
- Legal business name
- RENEWAL MENTAL HEALTH SERVICES
- Practice address
- 2405 S 130TH Cir
Omaha, NE 68144-2528 - Phone
- (402) 891-8882
- Fax
- (402) 891-8883
- NPI assigned
- May 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Devries
- Title
- Partner
- Phone
- (402) 891-8882
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 52 | NE | Primary |
| Professional Counselor | 101YP2500X | 1452 | NE |
Addresses
Primary practice location
2405 S 130TH Cir
Omaha, NE 68144-2528
Mailing address
2405 S 130TH Cir
Omaha, NE 68144-2528
Phone (402) 891-8882
National Provider Directory
National Provider DirectoryLocations
2405 S 130th Cir
Omaha, NE 68144
Phone (402) 618-0085
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1265589873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1881851707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 S 130TH CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442528",
"telephone_number": "402-891-8882",
"fax_number": "402-891-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 S 130TH CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442528",
"telephone_number": "402-891-8882",
"fax_number": "402-891-8883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWAL MENTAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "DEVRIES",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "402-891-8882"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "NE",
"license": "52",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1452",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
- Renal Treatment Centers-Illinois Inc (Omaha Harrison Dialysis)
- Pranav Renavikar
- Marc S Rendell, M.D.
- Syeshia Render Render
- Andrea Rendon
- Renewed Image LLC (Renewed Image)
- Renewed Life Counseling
- Renewed Reflections, LLC.
- Renewed Vision Counseling and Developmental Disability Center PC
- T'Challa Renfrow Jr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.