KETURAH FENICLE (NPI# 1295180297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295180297 |
| Entity Type | Individual |
| Full Name | KETURAH FENICLE |
| Credential | CSS |
| Practice Address |
120 S 24th St Suite 100 Omaha NE 68102-1213 |
| Mailing Address |
124 S 24th St Suite 230 Omaha NE 68102-1226 |
| Practice Telephone | 4023427007 |
| Practice Fax Number | 4025915075 |
| Mailing Telephone | 4023427007 |
| Mailing Fax Number | 4025915075 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | NE | Behavioral Health & Social Service Providers |
| Street Address |
120 S 24TH ST SUITE 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68102-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639121726 | Lutheran Family Services of Ne, Inc | Counselor | 120 S 24th St, Suite 100, Omaha, NE 68102-1202 | 2006-05-17 |
| 1053763839 | Che Orduna | Community Health Worker | 120 S 24th St, Suite 100, Omaha, NE 68102-1213 | 2016-07-06 |
| 1770935553 | Kristalee Caldwell | Community Health Worker | 120 S 24th St, Suite 100, Omaha, NE 68102-1213 | 2016-07-06 |
| 1023463585 | Tanesha Birch | Community Health Worker | 120 S 24th St, Suite 100, Omaha, NE 68102-1213 | 2016-05-03 |
| 1023490513 | Kathleen Mckenzie | Community Health Worker | 120 S 24th St, #100, Omaha, NE 68102-1213 | 2015-06-22 |
| 1316337272 | Darrel Moreland | Licensed Practical Nurse | 120 S 24th St, #100, Omaha, NE 68102-1213 | 2015-01-30 |
| 1932516762 | Gail Dillemuth | Counselor | 120 S 24th St, #100, Omaha, NE 68102-1213 | 2014-07-14 |
| 1306139621 | Jude T Connelly | Counselor | 120 S 24th St, Ste 100, Omaha, NE 68102-1213 | 2011-05-19 |
| 1144529645 | Tiffany Russell | Community Health Worker | 120 S 24th St, Ste 100, Omaha, NE 68102-1213 | 2011-03-23 |
| 1558680678 | Theodore L Kyster | Counselor | 120 S 24th St, Suite 100, Omaha, NE 68102-1213 | 2010-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
| 1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
| 1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
| 1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
| 1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
| 1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
| 1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
| 1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
| Find all providers in zip 68102 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868114 | Blue Sky Counseling LLC | Counselor | 16766 M Cir, Omaha, NE 68135-1314 | 2020-07-08 |
| 1851920979 | Saint Francis Ministries In Nebraska, Inc. | Counselor | 3311 N 93rd St, Omaha, NE 68134-4727 | 2020-04-02 |
| 1275166811 | Miriam Commodore-mensah | Counselor | 1941 S 42nd St Ste 375, Omaha, NE 68105-2958 | 2020-02-21 |
| 1972141893 | Incrementling Peace Counseling Services LLC. | Counselor | 3035 Harney Street, Tamarak Building Suite 101 G, Omaha, NE 68131-3500 | 2019-12-11 |
| 1235792821 | Vera Lynn Petersen | Counselor | 1441 N 11th St, Omaha, NE 68102-4202 | 2019-04-18 |
| 1134685563 | Vivian D Wright | Counselor | 4401 N 21st St, Omaha, NE 68110-1614 | 2019-02-11 |
| 1336603810 | Turning The Mind Therapy | Counselor | 4611 S 96th St Ste 232, Omaha, NE 68127-1243 | 2019-01-29 |
| 1780167676 | Kaitlin Carlson | Counselor | 1941 S 42nd St Ste 385, Omaha, NE 68105-2943 | 2018-09-07 |
| 1427547801 | Monica Lee Massengale | Counselor | 3414 S 122nd St, Omaha, NE 68144-4234 | 2018-05-01 |
| 1770084139 | Paula Cellar | Counselor | 13330 Larimore Ave Apt 209, Omaha, NE 68164-6330 | 2018-02-21 |
| Find all providers in OMAHA | ||||
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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.