Mikki J McBride

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIKKI J MCBRIDE

Practice address

8101 O St Ste 300
Lincoln, NE 68510-2647

Phone

(402) 261-3714

NPI assigned

Apr 16, 2019

Last updated

Apr 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kadra Omerovic

Title

Credentialing Dept

Phone

(402) 421-1182

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mikki McBride Other name

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1912560830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 O ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102647",
            "telephone_number": "402-261-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 O ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102647",
            "telephone_number": "402-261-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKKI J MCBRIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "OMEROVIC",
        "authorized_official_first_name": "KADRA",
        "authorized_official_title_or_position": "CREDENTIALING DEPT",
        "authorized_official_telephone_number": "402-421-1182"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50817812800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mikki McBride",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.