Active NPI
Tatem Skye Miller
- Professional Counselor
- Omaha, NE
National Provider Identifier
1992487458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13510
- Practice address
- 11640 Arbor St Ste 101
Omaha, NE 68144-5007 - Phone
- (402) 301-2312
- Fax
- (531) 999-4948
- NPI assigned
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13510 | NE | Primary |
Addresses
Primary practice location
11640 Arbor St Ste 101
Omaha, NE 68144-5007
Mailing address
2402 S 11TH St
Omaha, NE 68108-1614
Phone (402) 830-1242
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13510 | NE | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Collaborative LLC | Past | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Omaha, NE
- NPI 1922732742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1992487458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 S 11TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681081614",
"telephone_number": "402-830-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11640 ARBOR ST STE 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445007",
"telephone_number": "402-301-2312",
"fax_number": "531-999-4948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TATEM",
"middle_name": "SKYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-03",
"last_updated": "2023-08-03",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "13510",
"primary": true
}
],
"identifiers": [],
"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 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.