Active NPI
Angela Kristine Fanoele-Gifford, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1922164516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 65
- Practice address
- 1045 N 115TH St Ste 205
Omaha, NE 68154-4422 - Phone
- (402) 431-2219
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2845 | NE | |
| Mental Health Counselor | 101YM0800X | 65 | NE | Primary |
Addresses
Primary practice location
1045 N 115TH St Ste 205
Omaha, NE 68154-4422
Mailing address
1045 N 115TH St Ste 205
Omaha, NE 68154-4422
Phone (402) 431-2219
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 |
|---|---|---|---|
| 2845 | NE | MD | Emergency Medicine Physician |
| 65 | NE | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1922164516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 N 115TH ST STE 205",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544422",
"telephone_number": "402-431-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 N 115TH ST STE 205",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544422",
"telephone_number": "402-431-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANOELE-GIFFORD",
"first_name": "ANGELA",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2845",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "65",
"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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.