Individual provider Active NPI

Michaela Kathleen O'Brien, MS, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1952177784
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13174 Issued in NE
Practice address
9802 Nicholas St Ste 350
Omaha, NE 68114-2106
Phone
(932) 229-6402
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13174 NE Primary

Addresses

Primary practice location

9802 Nicholas St Ste 350
Omaha, NE 68114-2106

Mailing address

2521 Brookside Ave
Omaha, NE 68124-1835

Other names 1

  • Ms. Michaela Kathleen Wolf Former name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
13174NEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1952177784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 BROOKSIDE AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 NICHOLAS ST STE 350",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142106",
            "telephone_number": "932-229-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAELA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "MS, PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "WOLF",
            "middle_name": "KATHLEEN",
            "prefix": "MS.",
            "credential": "MS, PLMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 4, 2023; 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.