Active NPI
C Grant Story, LMHP
- Professional Counselor
- Omaha, NE
National Provider Identifier
1891860730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2341
- Practice address
- 10708 Corby Cir
Omaha, NE 68164-3583 - Phone
- (402) 891-8300
- Fax
- (402) 891-8301
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2341 | NE | Primary |
Addresses
Primary practice location
10708 Corby Cir
Omaha, NE 68164-3583
Mailing address
10708 Corby Cir
Omaha, NE 68164-3583
Phone (402) 891-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84304 | Other | NE | BLUE CROSS BLUE SHIELD |
| 47080935726 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2341 | NE | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Counseling Centers of the Midlands | Past | Accepting new patients |
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.
-
- Counseling Psychologist
- Omaha, NE
- NPI 1508911595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891860730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10708 CORBY CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681643583",
"telephone_number": "402-891-8300",
"fax_number": "402-891-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10708 CORBY CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681643583",
"telephone_number": "402-891-8300",
"fax_number": "402-891-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORY",
"first_name": "C GRANT",
"name_prefix": "Mr.",
"credential": "LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "2341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "84304",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47080935726",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.