| Therapy Resource Associates, Inc. | |
|
10824 Old Mill Rd Suite #21 Omaha NE 68154-2642 | |
| (402) 330-6060 | |
| (402) 330-6108 |
| Full Name | Therapy Resource Associates, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 10824 Old Mill Rd, Omaha, Nebraska |
| Authorized Official Name and Position | Kim K French (OFFICE MANAGER) |
| Authorized Official Contact | 4023306060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Resource Associates, Inc. 10824 Old Mill Rd Suite #21 Omaha NE 68154-2642 Ph: (402) 330-6060 | Therapy Resource Associates, Inc. 10824 Old Mill Rd Suite #21 Omaha NE 68154-2642 Ph: (402) 330-6060 |
| NPI Number | 1306872817 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 8729971049 |
|---|---|
| Medicare Enrollment ID | O20040202001110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306872817 | NPI | - | NPPES |
| Provider Name | Heather M Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619035425 PECOS PAC ID: 0244276079 Enrollment ID: I20050701000620 |
| Provider Name | Stephanie A Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538188214 PECOS PAC ID: 3870529753 Enrollment ID: I20050712000804 |
| Provider Name | Louise E Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467444521 PECOS PAC ID: 1759390610 Enrollment ID: I20060421000440 |
| Provider Name | Melissa Dawn Brestel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164597506 PECOS PAC ID: 0042347130 Enrollment ID: I20100421000717 |
| Provider Name | Susan M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487634382 PECOS PAC ID: 8224205935 Enrollment ID: I20120120000605 |
| Provider Name | Gary R Lehmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730168022 PECOS PAC ID: 7113194820 Enrollment ID: I20120120000622 |
| Provider Name | Karen R Stacey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316926694 PECOS PAC ID: 0749457455 Enrollment ID: I20120120000640 |
| Provider Name | Barbara K Detlefsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639149602 PECOS PAC ID: 5092982702 Enrollment ID: I20120120000667 |
| Provider Name | Paul M Wilken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427579374 PECOS PAC ID: 0446523591 Enrollment ID: I20170912001043 |
| Provider Name | Trisha M Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013287259 PECOS PAC ID: 3577792035 Enrollment ID: I20181205002034 |
| Provider Name | Kevin Benton Berryman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194860593 PECOS PAC ID: 9133509235 Enrollment ID: I20220707000969 |
| Provider Name | Sherri L. Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700566916 PECOS PAC ID: 0648633461 Enrollment ID: I20230828001101 |
| Provider Name | Shawn M Devries |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235455114 PECOS PAC ID: 0941650279 Enrollment ID: I20231228001002 |
| Provider Name | Marguerite L Quintana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386816551 PECOS PAC ID: 5092165324 Enrollment ID: I20231228001137 |
| Provider Name | Sheryl Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659520294 PECOS PAC ID: 3779933098 Enrollment ID: I20231229000181 |
| Provider Name | Anne M Marquardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831179639 PECOS PAC ID: 9931346996 Enrollment ID: I20240119001152 |
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