SOBER COACHING, LLC (NPI# 1558867903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558867903 |
| Entity Type | Organization |
| Organization Name | SOBER COACHING, LLC |
| Other Organization Name | SOBER COACHING |
| Practice Address |
444 N 76th St Omaha NE 68114-3154 |
| Mailing Address |
17607 Troon Cir Omaha NE 68136-1525 |
| Practice Telephone | 8772236680 |
| Mailing Telephone | 4025103100 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | AARON BARNES (OWNER) |
| Authorized Official Telephone | 8772236680 |
| Authorized Official Credential | RECOVERY COACH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Sober Coaching | Doing Business As Name - Organization |
| Street Address |
444 N 76TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1669088993 | Bianca Y. Garcia | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1083220305 | Alise J. Baker | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1427664754 | Karen M Garrett | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
| 1124631098 | Juan Cruz | Peer Specialist | 11550 I St Ste 100, Omaha, NE 68137-1222 | 2020-08-28 |
| 1477108777 | Dawn M. Stroud | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-08-05 |
| 1770138067 | Jaime E. Delahunty | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-08-05 |
| 1891340196 | Wendy P Moreno | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-08-05 |
| 1558926121 | Austine L Watske | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-05-08 |
| 1578128146 | Jarren L Breeling | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2019-05-08 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on SOBER COACHING, LLC.
| 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.