Organization Active NPI

Gonzalez Mental Health Therapy Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
National Provider Identifier
1962932046
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
10239 Issued in NE
Legal business name
GONZALEZ MENTAL HEALTH THERAPY SERVICES
Practice address
1941 S 42ND St Ste 416
Omaha, NE 68105-2945
Phone
(402) 516-2230
NPI assigned
Jun 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Edna Adriana Castro, PLMHPNPI 1336372499
Title
Mental Health Therapist
Phone
(402) 516-2230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 10239 NE Primary

Addresses

Primary practice location

1941 S 42ND St Ste 416
Omaha, NE 68105-2945

Mailing address

1941 S 42ND St Ste 416
Omaha, NE 68105-2945
Phone (402) 516-2230

Other identifiers 1

IdentifierTypeStateIssuer
10239OtherNESTATE OF NEBRASKA MENTAL HEALTH

National Provider Directory

National Provider Directory

Locations

1941 S 42nd St
Ste 416
Omaha, NE 68105
Phone (402) 516-2230

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1962932046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 416",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-516-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 416",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-516-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ MENTAL HEALTH THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "ADRIANA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "402-516-2230",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NE",
            "license": "10239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA MENTAL HEALTH",
            "identifier": "10239",
            "state": "NE"
        }
    ],
    "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 16, 2018; 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.