Active NPI
Justin Richard Brogan, PH.D., LIMHP, LPC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1942454350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 481
- Practice address
- 2132 S 42ND St
Omaha, NE 68105-2910 - Phone
- (402) 558-1858
- Fax
- (402) 558-8970
- NPI assigned
- Nov 12, 2008
- Last updated
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001052 | IA | |
| Mental Health Counselor | 101YM0800X | 3132 | NE | |
| Mental Health Counselor | 101YM0800X | 1626 | NE | |
| Mental Health Counselor | 101YM0800X | 481 | NE | Primary |
Addresses
Primary practice location
2132 S 42ND St
Omaha, NE 68105-2910
Mailing address
2132 S 42ND St
Omaha, NE 68105-2910
Phone (402) 558-1858
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 481 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D. Severa | Mental Health | Past | Accepting new patients |
| James Severa | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dba Omaha Psychiatric Associates
- Psychiatry Physician
- Council Bluffs, IA
- NPI 1679581110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1942454350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 S 42ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681052910",
"telephone_number": "402-558-1858",
"fax_number": "402-558-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 S 42ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681052910",
"telephone_number": "402-558-1858",
"fax_number": "402-558-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGAN",
"first_name": "JUSTIN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PH.D., LIMHP, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-12",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "001052",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3132",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1626",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "481",
"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 Jun 18, 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.