DOUGLAS COUNTY NEBRASKA (NPI# 1023019718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023019718 |
| Entity Type | Organization |
| Organization Name | DOUGLAS COUNTY NEBRASKA |
| Other Organization Name | DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
4102 Woolworth Ave Omaha NE 68105-1851 |
| Practice Telephone | 4024447608 |
| Mailing Telephone | 4024447608 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MRS. SHERRY L GLASNAPP (DIRECTOR) |
| Authorized Official Telephone | 4024447676 |
| Authorized Official Credential | LMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 260006 | NE | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025788600 | 05 | |
| NE | BC/BS PSYCH | 0074 | 01 |
| NE | UHC PSYCH | 5380038 | 01 |
| Other Name | Type Code |
|---|---|
| Douglas County Community Mental Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740707447 | Douglas County Nebraska | Internal Medicine | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2017-08-24 |
| 1841323284 | Douglas County Nebraska | Pharmacy | 4102 Woolworth Ave, Omaha, NE 68105-1899 | 2007-03-14 |
| 1194827550 | Douglas County Nebraska | Assisted Living Facility | 4102 Woolworth Ave, Omaha, NE 68105-1899 | 2006-09-05 |
| 1912009374 | Douglas County Nebraska | Durable Medical Equipment & Medical Supplies | 4102 Woolworth Ave, Omaha, NE 68105-1899 | 2006-09-05 |
| 1134196058 | Douglas County Nebraska | Skilled Nursing Facility | 4102 Woolworth Ave, Omaha, NE 68105-1899 | 2006-03-01 |
| Street Address |
4102 WOOLWORTH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295360014 | Julie D'agosto | Counselor | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2020-03-12 |
| 1235790551 | Meghan Greenfield | Physical Medicine & Rehabilitation | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-06-26 |
| 1487214391 | Lacy Rae Phillips | Physical Therapist | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-06-13 |
| 1477011294 | Patricia Ann Teeter | Nurse Practitioner | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-03-11 |
| 1558827980 | Robin Lee Sullivan | Counselor | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-02-11 |
| 1083188320 | Heidi Michelle Berthelsen | Speech-Language Pathologist | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-01-21 |
| 1740757327 | Katrina Dell Reifenrath | Physical Medicine & Rehabilitation | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-10-31 |
| 1790251841 | Stephanie Eileen Voyles | Social Worker | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-10-16 |
| 1225511223 | Michael A. Amenta | Nurse Practitioner | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-09-14 |
| 1699260943 | Teri Rachelle Conway | General Practice | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245276674 | Lasting Hope Recovery Center | Psychiatric Hospital | 415 S 25th St, Omaha, NE 68131-3654 | 2006-06-22 |
| 1518242528 | Douglas County Community Mental Health Center | Psychiatric Hospital | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2011-10-21 |
| 1710028675 | Douglas County Health Center | Psychiatric Hospital | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013004787 | State of Nebraska Dept of Admin Services | Psychiatric Hospital | 1700 N Victory Rd, Box 1209, Norfolk, NE 68701-6859 | 2006-10-06 |
| 1972669893 | Jana Gay Jacobson Langhorst | Psychiatric Hospital | 2300 S 16th St, Lincoln, NE 68502-3704 | 2006-12-28 |
| 1891876736 | Jenny Sue Kissinger | Psychiatric Hospital | 2300 S 16th St, Lincoln, NE 68502-3704 | 2006-10-18 |
| 1164503090 | Nicole Marie Schneider | Psychiatric Hospital | 2300 S 16th St, Lincoln, NE 68502-3704 | 2006-10-18 |
| 1396826236 | Lynn Lucille Hutt | Psychiatric Hospital | 2300 S 16th St, Lincoln, NE 68502-3704 | 2006-10-18 |
| 1215981493 | State of Nebraska Dept. of Adm. Svcs | Psychiatric Hospital | 4200 W 2nd St, Hastings, NE 68901-9700 | 2006-05-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.