Wellformed AI

NPI 1740332691 · live from the CMS NPI Registry

Central Counseling Associates

Counselor, Professional in Omaha, NE. National Provider Identifier 1740332691, active.

NPI record

NPI1740332691 Type 2 · organization
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location4848 S 120th St, Ste 410, Omaha, NE 68137
Practice phone402-393-1647
EnumeratedJanuary 18, 2007
Last updatedOctober 24, 2016
Authorized officialJane Dodson Martin, Psychtherapist

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical103TC0700X262 (NE)
Counselor, Professional primary101YP2500X618 (NE)

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