| Vivian R Herndon Counseling Pc | |
|
11330 Q St Ste 218 Omaha NE 68137-3679 | |
| (402) 659-4742 | |
| (531) 466-4960 |
| Full Name | Vivian R Herndon Counseling Pc |
|---|---|
| Speciality | Counselor |
| Location | 11330 Q St Ste 218, Omaha, Nebraska |
| Authorized Official Name and Position | Vivian R Herndon (OWNER) |
| Authorized Official Contact | 4026594742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian R Herndon Counseling Pc 11330 Q St Ste 218 Omaha NE 68137-3679 Ph: (402) 659-4742 | Vivian R Herndon Counseling Pc 11330 Q St Ste 218 Omaha NE 68137-3679 Ph: (402) 659-4742 |
| NPI Number | 1306616586 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Medicare PECOS PAC ID | 9436599636 |
|---|---|
| Medicare Enrollment ID | O20240506000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306616586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Vivian R Herndon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093821365 PECOS PAC ID: 6204277668 Enrollment ID: I20240516000333 |
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 | |
Alphaomega Counseling&consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St Ste 538, Omaha, NE 68105 Phone: 402-515-4874 | |
Charles Drew Health Center, Inc At Siena Francis House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 North 17th Street, Omaha, NE 68102 Phone: 402-346-8401 Fax: 402-453-2061 | |
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 | |
Deborah L. Winckler Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11330 Q St, Ste # 219, Omaha, NE 68137 Phone: 402-490-3672 Fax: 402-597-2349 | |
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 | |
Completely Kids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Saint Marys Ave, Omaha, NE 68105 Phone: 402-397-5809 |