| Mental Wellness Counseling Services, Llc | |
|
8031 W Center Rd Ste 307 Omaha NE 68124-3134 | |
| (425) 331-9088 | |
| Not Available |
| Full Name | Mental Wellness Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8031 W Center Rd Ste 307, Omaha, Nebraska |
| Authorized Official Name and Position | Michaela M Mastny (OWNER) |
| Authorized Official Contact | 4025478869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness Counseling Services, Llc 11605 W Dodge Rd Ste 4 Omaha NE 68154-2566 Ph: (402) 547-8869 | Mental Wellness Counseling Services, Llc 8031 W Center Rd Ste 307 Omaha NE 68124-3134 Ph: (425) 331-9088 |
| NPI Number | 1780235143 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Medicare PECOS PAC ID | 6103156716 |
|---|---|
| Medicare Enrollment ID | O20190925000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780235143 | NPI | - | NPPES |
| APPLYING | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Michaela Mastny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356872717 PECOS PAC ID: 8325370240 Enrollment ID: I20191025002685 |
| Provider Name | Samantha James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174146773 PECOS PAC ID: 8820484082 Enrollment ID: I20220415000871 |
| Provider Name | Madison Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255932000 PECOS PAC ID: 7012397771 Enrollment ID: I20220712001789 |
| Provider Name | Alyssa Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730680364 PECOS PAC ID: 9436510963 Enrollment ID: I20230801001652 |
| Provider Name | Diana Marie Graham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841720505 PECOS PAC ID: 0840637948 Enrollment ID: I20240325003866 |
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