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638 N 109th Plz Omaha NE 68154-1722 | |
| (402) 403-0190 | |
| (402) 932-4121 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 638 N 109th Plz, Omaha, Nebraska |
| Authorized Official Name and Position | Ann E Potter (PARTNER/TREASURER) |
| Authorized Official Contact | 4024030190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
638 N 109th Plz Omaha NE 68154-1722 Ph: (402) 403-0190 | 638 N 109th Plz Omaha NE 68154-1722 Ph: (402) 403-0190 |
| NPI Number | 1881866929 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 5092879148 |
|---|---|
| Medicare Enrollment ID | O20090204000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881866929 | NPI | - | NPPES |
| Provider Name | Ann E Potter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063491413 PECOS PAC ID: 4284536749 Enrollment ID: I20040123001014 |
| Provider Name | Hope Denise Peabody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174672539 PECOS PAC ID: 4688618713 Enrollment ID: I20050620000175 |
| Provider Name | Bonnie Jean Sarton Mierau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215154877 PECOS PAC ID: 6901129618 Enrollment ID: I20151023001822 |
| Provider Name | Teresa M Lenzen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033101183 PECOS PAC ID: 6709109408 Enrollment ID: I20240530004052 |
| Provider Name | Erin Woolman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972051449 PECOS PAC ID: 3779025358 Enrollment ID: I20240611001886 |
| Provider Name | Debra B Wesselmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275512568 PECOS PAC ID: 3072677129 Enrollment ID: I20240710000624 |
| Provider Name | Pamela S Lamberty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154662781 PECOS PAC ID: 5294162210 Enrollment ID: I20240710003451 |
| Provider Name | Amber L Determan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689235939 PECOS PAC ID: 7113462474 Enrollment ID: I20240710004094 |
| Provider Name | Lindsay Kruse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164562617 PECOS PAC ID: 4688777584 Enrollment ID: I20240710004465 |
| Provider Name | Eleanor A Fields |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740395144 PECOS PAC ID: 5890018592 Enrollment ID: I20240710004936 |
| Provider Name | Heidi L Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013218619 PECOS PAC ID: 8022556828 Enrollment ID: I20240812001916 |
| Provider Name | Sarah Thibault |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437431913 PECOS PAC ID: 2365982105 Enrollment ID: I20240909000808 |
Santa Monica Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N 39th St, Omaha, NE 68131 Phone: 402-558-7088 Fax: 402-558-7133 | |
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Hill Counseling And Consulting, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St, Suite 129, Omaha, NE 68105 Phone: 402-871-9979 Fax: 402-614-9947 | |
Serenity Psychodynamics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11605 Arbor St, Suite 102, Omaha, NE 68144 Phone: 402-330-4700 Fax: 402-330-8815 | |
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