KVC BEHAVIORAL HEALTH (NPI# 1407380280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407380280 |
| Entity Type | Organization |
| Organization Name | KVC BEHAVIORAL HEALTH |
| Practice Address |
11550 I St 100 Omaha NE 68137-1262 |
| Practice Telephone | 4024984714 |
| Mailing Telephone | 4024984714 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Authorized Official Name | LUCY AJUOGA (IN HOME SUPERVISOR) |
| Authorized Official Telephone | 4024984717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881046621 | Kvc Behavioral Health | Social Worker | 217 Main St, Florence, KY 41042-2015 | 2016-07-05 |
| 1528498318 | Kvc Behavioral Health | Exclusive Provider Organization | 900 Beasley St, Lexington, KY 40509-4266 | 2013-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KVC BEHAVIORAL HEALTHCARE KENTUCKY, INC. | 2250 Thunderstick Dr Ste 1104, Lexington, KY 40505-9009 |
| System for Award Management (SAM) Entities | KVC BEHAVIORAL HEALTHCARE NEBRASKA, INC. | 11550 I St # 100, Omaha, NE 68137-1222 |
| Street Address |
11550 I ST 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68137-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801211164 | Lucy Ajuoga | Counselor | 11550 I St, Suite 100, Omaha, NE 68137-1262 | 2014-02-24 |
| 1780202689 | Alicia Mae Villescas | Counselor | 11550 I St, Omaha, NE 68137-1262 | 2020-07-08 |
| 1376177071 | Shannon Bolter | Counselor | 11550 I St, Omaha, NE 68137-1262 | 2020-03-03 |
| 1366920209 | Kirby Janae Davis | Counselor | 11550 I St, Omaha, NE 68137-1262 | 2018-08-02 |
| 1952833386 | Stephanie Clark | Social Worker | 11550 I St, Suite 100, Omaha, NE 68137-1262 | 2017-04-03 |
| 1164875779 | Larissa Dowe | Social Worker | 11550 I St, Omaha, NE 68137-1262 | 2016-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1326567686 | Lachelle Zuhlke | Psychologist | 5606 S. 147th Street, Omaha, NE 68137 | 2017-09-18 |
| 1043739766 | Rachel Miller | Registered Nurse | 5606 S. 147th St, Omaha, NE 68137 | 2017-09-13 |
| 1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
| 1790153617 | Answers for Autism, LLC | Community/Behavioral Health | 6424 S 150th St., Omaha, NE 68137 | 2015-09-09 |
| 1912382383 | Rocky Mountain Holdings, LLC | Ambulance | 12916 Millard Airport Plz, Omaha, NE 68137 | 2015-07-27 |
| Find all providers in zip 68137 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023321 | Omaha Mental Health LLC | Counselor | 12305 Gold St Ste 13, Omaha, NE 68144-2760 | 2020-11-04 |
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1497368476 | Jennifer Cherney | Counselor | 9218 Bedford Ave, Omaha, NE 68134-4726 | 2020-08-28 |
| 1356959530 | Wonderful Counselor | Counselor | 1524 Cuming St Apt 309, Omaha, NE 68102-4435 | 2020-07-14 |
| 1295357069 | Tracy N Gilman | Counselor | 42nd and Dewey St, Omaha, NE 68198-1023 | 2020-05-14 |
| 1609498609 | Moreno Therapy, PC, LLC | Counselor | 2620 N 132nd Ave, Omaha, NE 68164-4023 | 2020-05-12 |
| 1992334494 | Benjamin Daniel Wright | Counselor | 6206 S 37th St, Omaha, NE 68107-3840 | 2020-04-06 |
| 1558995662 | Cord Where Science Meets Connection LLC | Counselor | 10826 Old Mill Rd Ste 103a, Omaha, NE 68154-2660 | 2020-02-27 |
| 1124652656 | Be Kind Counseling LLC | Counselor | 4917 Underwood Ave # 3, Omaha, NE 68132-2421 | 2020-02-24 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 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.