Organization Active NPI

Brooke Gundrum Storm Ms Plmhp

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1902371727
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BROOKE GUNDRUM STORM MS PLMHP
Practice address
10730 Pacific St Ste 30
Omaha, NE 68114-4761
Phone
(402) 637-8024
NPI assigned
Oct 8, 2018
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Ms. Brooke Gundrum Storm, PLMHP
Title
Owner
Phone
(531) 242-9489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

10730 Pacific St Ste 30
Omaha, NE 68114-4761

Mailing address

10866 Newport Ave
Omaha, NE 68164-1242
Phone (531) 242-9489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415003844 NE Part B Supplier - Clinic/Group Practice 7810336476 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

10730 Pacific St
Ste 30
Omaha, NE 68114
Phone (402) 637-8024

8790 F St
Ste 113
Omaha, NE 68127
Phone (531) 242-9489

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1902371727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10866 NEWPORT AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641242",
            "telephone_number": "531-242-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 PACIFIC ST STE 30",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144761",
            "telephone_number": "402-637-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE GUNDRUM STORM MS PLMHP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "GUNDRUM STORM",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "531-242-9489",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.