Active NPI
Simply Bloom Therapy Counseling and Consultant, LLC
- Professional Counselor
- Omaha, NE
National Provider Identifier
1891446571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SIMPLY BLOOM THERAPY COUNSELING AND CONSULTANT, LLC
- Practice address
- 11414 W Center Rd Ste 318
Omaha, NE 68144-4420 - Phone
- (402) 871-5372
- Fax
- (913) 424-2440
- NPI assigned
- Jan 13, 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
- Francis Carter-Kaisi, LIMHP
- Title
- Owner
- Phone
- (402) 871-5372
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
11414 W Center Rd Ste 318
Omaha, NE 68144-4420
Mailing address
11414 W Center Rd Ste 318
Omaha, NE 68144-4420
Phone (402) 871-5372
National Provider Directory
National Provider DirectoryLocations
11414 W Center Rd
Ste 318
Omaha, NE 68144
Phone (402) 871-5372
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": "1642032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642032000000",
"number": "1891446571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11414 W CENTER RD STE 318",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444420",
"telephone_number": "402-871-5372",
"fax_number": "913-424-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 W CENTER RD STE 318",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444420",
"telephone_number": "402-871-5372",
"fax_number": "913-424-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY BLOOM THERAPY COUNSELING AND CONSULTANT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-13",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "CARTER-KAISI",
"authorized_official_first_name": "FRANCIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-871-5372",
"authorized_official_credential": "LIMHP"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"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 Jan 13, 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.