Organization Active NPI

Mentality Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
National Provider Identifier
1992520852
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MENTALITY THERAPY LLC
Practice address
4611 S 96TH St
Omaha, NE 68127-1202
Phone
(402) 740-1375
NPI assigned
Nov 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Authorized official

Name
Madison Bayley Rowland, LIMHP, LCSWNPI 1811663925
Title
Mental Health Therapist
Phone
(402) 740-1375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4611 S 96TH St
Omaha, NE 68127-1202

Mailing address

15083 Mormon Cir
Bennington, NE 68007-1245
Phone (402) 740-1375

Other practice location 1

15083 Mormon Cir
Bennington, NE 68007-1245
Phone (402) 740-1375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260622003400 NE Part B Supplier - Clinic/Group Practice 3678046612 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

4611 S 96th St
Ste 259
Omaha, NE 68127

4611 S 96th St
Omaha, NE 68127
Phone (402) 607-8344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1992520852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15083 MORMON CIR",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680071245",
            "telephone_number": "402-740-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 S 96TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271202",
            "telephone_number": "402-740-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15083 Mormon Cir",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "NE",
            "postal_code": "680071245",
            "country_code": "US",
            "telephone_number": "402-740-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTALITY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "BAYLEY",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "402-740-1375",
        "authorized_official_credential": "LIMHP, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.