Fireside Counseling Llc | |
7701 Pacific St Ste 100 Omaha NE 68114-5480 | |
(402) 216-1789 | |
Not Available |
Full Name | Fireside Counseling Llc |
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Speciality | Counselor |
Location | 7701 Pacific St Ste 100, Omaha, Nebraska |
Authorized Official Name and Position | Michael Andrew Green (THERAPIST) |
Authorized Official Contact | 4022161789 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fireside Counseling Llc 7701 Pacific St Ste 100 Omaha NE 68114-5480 Ph: (402) 216-1789 | Fireside Counseling Llc 7701 Pacific St Ste 100 Omaha NE 68114-5480 Ph: (402) 216-1789 |
NPI Number | 1851766034 |
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Provider Enumeration Date | 12/14/2015 |
Last Update Date | 01/08/2021 |
Certification Date | 01/08/2021 |
Medicare PECOS PAC ID | 9436571601 |
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Medicare Enrollment ID | O20200616001495 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851766034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Naomi Kigondu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518451152 PECOS PAC ID: 7416204920 Enrollment ID: I20180716000264 |
Provider Name | Saraann Staley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790137842 PECOS PAC ID: 0446672778 Enrollment ID: I20200615002968 |
Provider Name | Maureen Gatere |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316550072 PECOS PAC ID: 4385061985 Enrollment ID: I20200827001925 |
Provider Name | Jessica Lee Carpenter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972157048 PECOS PAC ID: 1052726627 Enrollment ID: I20210211001595 |
Provider Name | Melissa Ann Jansen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750988325 PECOS PAC ID: 9436536158 Enrollment ID: I20220519000317 |
Provider Name | Shawna Plendl |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972150100 PECOS PAC ID: 6709263429 Enrollment ID: I20220519000346 |
Provider Name | Dena M. Stemm |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174642730 PECOS PAC ID: 9830565373 Enrollment ID: I20221025000309 |
Provider Name | Katharine Elisabeth Alford |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659987626 PECOS PAC ID: 5496196313 Enrollment ID: I20240509002025 |
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