NPI 1205492907 · live from the CMS NPI Registry
Shah Hasan, PLMHP
Counselor, Mental Health in Omaha, NE. National Provider Identifier 1205492907, active.
NPI record
| NPI | 1205492907 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 139 S 40th St, Omaha, NE 68131 |
| Practice phone | 402-559-0390 |
| Mailing address | 988102 Nebraska Medical Ctr, Omaha, NE 68198 |
| Enumerated | May 17, 2019 |
| Last updated | April 14, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166001348 (IL) |
| Counselor, Mental Health primary | 101YM0800X | 11850 (NE) |
| Marriage & Family Therapist | 106H00000X | 0717001774 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.