Individual provider Active NPI

Ameen Wahba

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1891455879
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2126 N 117TH Ave
Omaha, NE 68164-3670
Phone
(402) 934-1617
NPI assigned
Dec 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2126 N 117TH Ave
Omaha, NE 68164-3670

Mailing address

2126 N 117TH Ave
Omaha, NE 68164-3670
Phone (402) 934-1617

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address a.wahba@omahaic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718001499 NE Practitioner - Mental Health Counselor 9133665862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omaha Integrative Care, LLCGroup PAC ID 4183875776, 15 clinicians

Practice addresses (Care Compare)

2126 N 117TH Ave
Omaha, NE 68164-3670
Phone (402) 934-1617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3694NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Integrative Care, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

2126 N 117th Ave
Omaha, NE 68164
Phone (402) 934-1617

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8127/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1891455879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 N 117TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643670",
            "telephone_number": "402-934-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 N 117TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643670",
            "telephone_number": "402-934-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHBA",
        "first_name": "AMEEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-17",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a.wahba@omahaic.com",
            "affiliation": "N",
            "address_1": "2126 N 117th Ave",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681643670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.