111 Free, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

111 FREE, INC.

Practice address

1941 S 42ND St Ste 426
Omaha, NE 68105-2988

Phone

(402) 874-4111

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Geraldine NMN AlexisNPI 1316074164

Title

President

Phone

(402) 874-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geraldine Alexis, LIMHP, LPC, LPCC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1316074164

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1942929708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 426",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 426",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052988",
            "telephone_number": "402-874-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "111 FREE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-874-4111"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027354001",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "geraldine@ccaomaha.com",
            "affiliation": "Y",
            "affiliationName": "Counseling Connections, LLC",
            "address_1": "9802 Nicholas St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681142167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Omaha, NE
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.