SEASON OF CHANGE COUNSELING LLC (NPI# 1316446842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316446842 |
| Entity Type | Organization |
| Organization Name | SEASON OF CHANGE COUNSELING LLC |
| Practice Address |
268 N 115th St Ste 1 Omaha NE 68154-2502 |
| Mailing Address |
1118 Shawnee Rd Papillion NE 68046-3848 |
| Practice Telephone | 4025908766 |
| Practice Fax Number | 4028387248 |
| Mailing Telephone | 4023013322 |
| Mailing Fax Number | 4028387248 |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2018-02-10 |
| Authorized Official Name | COURTNEY MERTES (OWNER) |
| Authorized Official Telephone | 4025908766 |
| Authorized Official Credential | MS, LIMHP PLADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
268 N 115TH ST STE 1 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326390139 | Courtney Mertes | Counselor | 268 N 115th St Ste 1, Omaha, NE 68154-2502 | 2012-10-04 |
| 1053970996 | Saraann Staley LLC | Community/Behavioral Health | 268 N 115th St Ste 1, Omaha, NE 68154-2502 | 2019-06-12 |
| 1326505207 | Looking Forward Counseling Services, LLC | Clinic/Center | 268 N 115th St Ste 1, Omaha, NE 68154-2502 | 2019-02-27 |
| 1609385103 | Robert Broekemeier Counseling, LLC | Counselor | 268 N 115th St Ste 1, Omaha, NE 68154-2502 | 2017-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939268 | Innerwork Counseling and Consulting | Clinic/Center | 7905 L St Ste 430, Omaha, NE 68127-1732 | 2019-12-16 |
| 1578113130 | Barbara K Clinkenbeard PC | Clinic/Center | 13911 Gold Cir Ste 210, Omaha, NE 68144-2376 | 2019-09-16 |
| 1679128318 | Restore Rebuild Reconnect Counseling Center | Clinic/Center | 1941 S 42nd St Ste 523, Omaha, NE 68105-2982 | 2019-08-08 |
| 1104423961 | Wholistic Freedom, LLC | Clinic/Center | 11414 W Center Rd Ste 300, Omaha, NE 68144-4420 | 2020-10-05 |
| 1710506068 | Hope Rising Counseling LLC | Clinic/Center | 5410 S 99th St, Omaha, NE 68127-3214 | 2020-04-15 |
| 1205464542 | Enlightened Counseling & Healing LLC | Clinic/Center | 5824 S 142nd St Ste B, Omaha, NE 68137-2872 | 2020-03-31 |
| 1003446048 | Restoration & Peace Counseling | Clinic/Center | 11605 Arbor St Ste 106, Omaha, NE 68144-2982 | 2020-01-17 |
| 1922582162 | Chelsea Balzer LLC | Clinic/Center | 6107 Maple St, Omaha, NE 68104-4001 | 2018-09-24 |
| 1750872149 | Mind Over Matter Counseling Services LLC | Clinic/Center | 5410 S 99th St, Omaha, NE 68127-3214 | 2018-05-22 |
| 1295256501 | Third Force Psychotherapy | Clinic/Center | 1004 Farnam St Ste 204, Omaha, NE 68102-1885 | 2017-06-28 |
| 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.