Individual provider Active NPI

Benjamin Daniel Wright

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1992334494
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12153 Issued in NE
Practice address
6206 S 37TH St
Omaha, NE 68107-3840
Phone
(816) 500-5241
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 12153 NE Primary

Addresses

Primary practice location

6206 S 37TH St
Omaha, NE 68107-3840

Mailing address

6206 S 37TH St
Omaha, NE 68107-3840

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Omaha Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105000258 IA Practitioner - Mental Health Counselor 2860843737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Place IncGroup PAC ID 8628042983, 10 clinicians

Practice addresses (Care Compare)

101 E 22ND St
Atlantic, IA 50022-2879
Phone (712) 254-9018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12153NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Place, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

532 1st Ave
Ste 300
Council Bluffs, IA 51503
Phone (402) 310-5230

427 E Kanesville Blvd
Ste 102
Council Bluffs, IA 51503
Phone (402) 281-3278

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1992334494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 S 37TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681073840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 S 37TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681073840",
            "telephone_number": "816-500-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "BENJAMIN",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Omaha",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6206 S 37th St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681073840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.