Active NPI
Bruce Edward Myers, LMHP
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1891873220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 539
- Practice address
- 124 S 24TH St
Suite 230
Omaha, NE 68102-1226 - Phone
- (402) 978-5656
- Fax
- (402) 591-5075
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1429 | NE | |
| Clinical Social Worker | 1041C0700X | 764 | NE | |
| Clinical Social Worker | 1041C0700X | 539 | NE | Primary |
Addresses
Primary practice location
124 S 24TH St
Suite 230
Omaha, NE 68102-1226
Mailing address
1410 E Gold Coast Rd
Suite 200
Papillion, NE 68046-5799
Phone (402) 592-0639
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 539 | NE | MD | Clinical Psychologist |
| 1429 | NE | MD | Chiropractor |
| 764 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Family Services of NE, Inc | Mental Health | 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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1639121726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1891873220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 E GOLD COAST RD",
"address_2": "SUITE 200",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680465799",
"telephone_number": "402-592-0639",
"fax_number": "402-592-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S 24TH ST",
"address_2": "SUITE 230",
"city": "OMAHA",
"state": "NE",
"postal_code": "681021226",
"telephone_number": "402-978-5656",
"fax_number": "402-591-5075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "BRUCE",
"middle_name": "EDWARD",
"credential": "LMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1429",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "764",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "539",
"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 Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.