Wellformed AI

NPI 1477401008 · live from the CMS NPI Registry

Purpose Driven LLC

Counselor, Mental Health in Omaha, NE. National Provider Identifier 1477401008, active.

NPI record

NPI1477401008 Type 2 · organization
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location3610 Dodge St, Omaha, NE 68131
Practice phone402-753-7302
Mailing address3128 N 168th Ave, Omaha, NE 68116
EnumeratedMarch 19, 2026
Last updatedMarch 19, 2026
Authorized officialWilliam Mcneil, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Counselor101Y00000X—
Counselor, Addiction (Substance Use Disorder)101YA0400X—
Counselor, Professional101YP2500X—
Marriage & Family Therapist106H00000X—
Case Manager/Care Coordinator171M00000X—
Occupational Therapist, Mental Health225XM0800X—
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X—
Counselor, Mental Health primary101YM0800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.