NPIMap

Organization Active NPI

McDougle Counseling

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1992077598
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2993 Issued in NE
Legal business name
MCDOUGLE COUNSELING
Practice address
3223 N 45TH St BLDG a
Omaha, NE 68104-3711
Phone
(402) 813-1104
Fax
(402) 457-7842
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Mr. Eric Scott McDougle, M.S. LMHP
Title
Owner
Phone
(402) 813-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2993 NE Primary

Addresses

Primary practice location

3223 N 45TH St BLDG a
Omaha, NE 68104-3711

Mailing address

3223 N 45TH St BLDG a
Omaha, NE 68104-3711
Phone (402) 813-1104

Other identifiers 1

IdentifierTypeStateIssuer
50696640026MedicaidNE

National Provider Directory

National Provider Directory

Locations

3223 N 45th St
Bldg A
Omaha, NE 68104
Phone (402) 813-1104

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1992077598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N 45TH ST BLDG A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043711",
            "telephone_number": "402-813-1104",
            "fax_number": "402-457-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N 45TH ST BLDG A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043711",
            "telephone_number": "402-813-1104",
            "fax_number": "402-457-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOUGLE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "MCDOUGLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-813-1104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50696640026",
            "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 Jan 30, 2012; 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.