NPI 1598095374 · live from the CMS NPI Registry
Samantha June Acosta
Marriage & Family Therapist in Omaha, NE. National Provider Identifier 1598095374, active.
NPI record
| NPI | 1598095374 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 12001 Q St, Omaha, NE 68137 |
| Practice phone | 402-592-0328 |
| Mailing address | Po Box 391124, Omaha, NE 68139 |
| Enumerated | December 30, 2009 |
| Last updated | June 11, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 7967230-3904 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.