Epiphanal Moments Counseling Agency

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EPIPHANAL MOMENTS COUNSELING AGENCY

Practice address

11414 W Center Rd
Ste 325
Omaha, NE 68144-4486

Phone

(402) 709-5928

Fax

(402) 763-4818

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Ruth Atkins, LIMHP

Title

Executive Director

Phone

(402) 709-5928

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1982942397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "STE 325",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444486",
            "telephone_number": "402-709-5928",
            "fax_number": "402-763-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "STE 325",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444486",
            "telephone_number": "402-709-5928",
            "fax_number": "402-763-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANAL MOMENTS COUNSELING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-709-5928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100025361800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.