Organization Active NPI

Lakota Lodge Counseling Clinic, LLC

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1891054532
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
231 Issued in NE
Legal business name
LAKOTA LODGE COUNSELING CLINIC, LLC
Practice address
8998 L St
Suite 108
Omaha, NE 68127-1400
Phone
(402) 681-4348
Fax
(402) 506-5137
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Arlene J Garcia, PH.D
Title
Owner/President
Phone
(402) 681-4348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 231 NE Primary

Addresses

Primary practice location

8998 L St
Suite 108
Omaha, NE 68127-1400

Mailing address

8998 L St
Suite 108
Omaha, NE 68127-1400
Phone (402) 681-4348

National Provider Directory

National Provider Directory

Locations

8998 L St
Ste 108
Omaha, NE 68127
Phone (402) 681-4348

11329 P St
Ste 120
Omaha, NE 68137
Phone (402) 597-2292

120 N Washington St
Papillion, NE 68046
Phone (402) 933-5300

Practitioners & affiliated clinicians

Practitioners 1

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": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1891054532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8998 L ST",
            "address_2": "SUITE 108",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271400",
            "telephone_number": "402-681-4348",
            "fax_number": "402-506-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8998 L ST",
            "address_2": "SUITE 108",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271400",
            "telephone_number": "402-681-4348",
            "fax_number": "402-506-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKOTA LODGE COUNSELING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-681-4348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "231",
            "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 May 11, 2017; 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.