Individual provider Active NPI

Mary M Garcia, MA, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1972094019
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11970 Issued in NE
Practice address
10846 John Galt Blvd
Omaha, NE 68137-2306
Phone
(402) 325-1290
Fax
(402) 817-4894
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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 11970 NE Primary

Addresses

Primary practice location

10846 John Galt Blvd
Omaha, NE 68137-2306

Mailing address

1705 Southview Dr
Papillion, NE 68046-4267
Phone (402) 657-2615

Other practice location 1

1941 S 42nd St Ste 328
Omaha, NE 68105-2943
Phone (402) 614-8444

Other identifiers 1

IdentifierTypeStateIssuer
10026768800MedicaidNE

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 Arts

State licenses

LicenseStateTypeSpecialty
11970NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Support Services LLC CurrentSince Nov 26, 2023 Accepting new patients

Locations

10846 John Galt Blvd
Omaha, NE 68137
Phone (402) 325-1290

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1972094019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 SOUTHVIEW DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464267",
            "telephone_number": "402-657-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10846 JOHN GALT BLVD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372306",
            "telephone_number": "402-325-1290",
            "fax_number": "402-817-4894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 S 42nd St Ste 328",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681052943",
            "country_code": "US",
            "telephone_number": "402-614-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "MA, PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026768800",
            "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 Aug 26, 2019; 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.