Active NPI
Amy M Wolfe Professional Services
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1891430625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- AMY M WOLFE PROFESSIONAL SERVICES
- Practice address
- 11840 Nicholas St Ste 205
Omaha, NE 68154-4475 - Phone
- (402) 990-4230
- NPI assigned
- May 5, 2022
- 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
- Amy Wolfe, LIMHP
- Title
- Owner/Practitioner
- Phone
- (402) 990-4230
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11840 Nicholas St Ste 205
Omaha, NE 68154-4475
Mailing address
11840 Nicholas St Ste 205
Omaha, NE 68154-4475
Phone (402) 990-4230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026978900 | Medicaid | NE |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1651708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1891430625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11840 NICHOLAS ST STE 205",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544475",
"telephone_number": "402-990-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11840 NICHOLAS ST STE 205",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544475",
"telephone_number": "402-990-4230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY M WOLFE PROFESSIONAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-05",
"last_updated": "2022-05-05",
"certification_date": "2022-05-03",
"status": "A",
"authorized_official_last_name": "WOLFE",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "402-990-4230",
"authorized_official_credential": "LIMHP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026978900",
"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 May 5, 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.