| Pando Geriatric Counseling, Pc | |
|
10806 Prairie Hills Dr Omaha NE 68144-4830 | |
| (402) 321-8995 | |
| Not Available |
| Full Name | Pando Geriatric Counseling, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10806 Prairie Hills Dr, Omaha, Nebraska |
| Authorized Official Name and Position | Mindy Sue Crouch (OWNER) |
| Authorized Official Contact | 4023218995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pando Geriatric Counseling, Pc 10806 Prairie Hills Dr Omaha NE 68144-4830 Ph: (402) 321-8995 | Pando Geriatric Counseling, Pc 10806 Prairie Hills Dr Omaha NE 68144-4830 Ph: (402) 321-8995 |
| NPI Number | 1700171741 |
|---|---|
| Provider Enumeration Date | 06/17/2011 |
| Last Update Date | 06/17/2011 |
| Medicare PECOS PAC ID | 2567632458 |
|---|---|
| Medicare Enrollment ID | O20110901000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700171741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carol Countryman Nunnally |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093876872 PECOS PAC ID: 6507895125 Enrollment ID: I20050915000505 |
| Provider Name | Mindy S Crouch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982843603 PECOS PAC ID: 0547327579 Enrollment ID: I20090319000035 |
| Provider Name | Brian K Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255662508 PECOS PAC ID: 8123200797 Enrollment ID: I20140605001815 |
| Provider Name | Brandon L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336558220 PECOS PAC ID: 8628391463 Enrollment ID: I20141230002126 |
| Provider Name | Jumoke Omojola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417334756 PECOS PAC ID: 9739493859 Enrollment ID: I20150804003322 |
| Provider Name | Jodi R Ramold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700222031 PECOS PAC ID: 5597907964 Enrollment ID: I20180719003769 |
| Provider Name | Russell J Rosenquist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023257854 PECOS PAC ID: 1052320447 Enrollment ID: I20190509001543 |
| Provider Name | Tanya A Keith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992262620 PECOS PAC ID: 7214270982 Enrollment ID: I20190521000791 |
| Provider Name | Jessica M Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942841846 PECOS PAC ID: 9436583986 Enrollment ID: I20191217000588 |
| Provider Name | Nene Diallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336685759 PECOS PAC ID: 3870921026 Enrollment ID: I20200321000560 |
| Provider Name | Toni Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184132656 PECOS PAC ID: 0648688028 Enrollment ID: I20210423001541 |
| Provider Name | Anna E Jeseritz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861772642 PECOS PAC ID: 6305230228 Enrollment ID: I20220218000792 |
| Provider Name | Kari Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508544800 PECOS PAC ID: 9739542150 Enrollment ID: I20240104004366 |
| Provider Name | Andrea Marie Rossitto-willets |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093871683 PECOS PAC ID: 8123198322 Enrollment ID: I20240202002238 |
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