Active NPI
Mentality Therapy LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Omaha, NE
National Provider Identifier
1992520852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madison Bayley Rowland, LIMHP, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1811663925
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.