| Douglas County Nebraska | |
|
4102 Woolworth Ave Omaha NE 68105-1899 | |
| (402) 444-7608 | |
| Not Available |
| Full Name | Douglas County Nebraska |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 4102 Woolworth Ave, Omaha, Nebraska |
| Authorized Official Name and Position | Sherry L Driver (DIRECTOR) |
| Authorized Official Contact | 4024447676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas County Nebraska 4102 Woolworth Ave Omaha NE 68105-1899 Ph: (402) 444-7608 | Douglas County Nebraska 4102 Woolworth Ave Omaha NE 68105-1899 Ph: (402) 444-7608 |
| NPI Number | 1023019718 |
|---|---|
| Provider Enumeration Date | 08/03/2005 |
| Last Update Date | 09/16/2025 |
| Certification Date | 09/16/2025 |
| Medicare PECOS PAC ID | 3375440936 |
|---|---|
| Medicare Enrollment ID | O20031212000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023019718 | NPI | - | NPPES |
| 0074 | Other | NE | BC/BS PSYCH |
| 10025788600 | Medicaid | NE | |
| 5380038 | Other | NE | UHC PSYCH |
| Provider Name | John W Markus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700974656 PECOS PAC ID: 3971574880 Enrollment ID: I20040804000666 |
| Provider Name | Rachel L Kozol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164567749 PECOS PAC ID: 0143258194 Enrollment ID: I20050801000174 |
| Provider Name | Sidney Kauzlarich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265481568 PECOS PAC ID: 2769410711 Enrollment ID: I20050801000193 |
| Provider Name | Jeffrey P Kasselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316005366 PECOS PAC ID: 6608822317 Enrollment ID: I20060113000820 |
| Provider Name | Tenycia R Shepherd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083704704 PECOS PAC ID: 4284701699 Enrollment ID: I20080927000083 |
| Provider Name | Brian J Finley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144278482 PECOS PAC ID: 0840332375 Enrollment ID: I20100122000059 |
| Provider Name | Michael H Gillaspie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972633527 PECOS PAC ID: 8123152808 Enrollment ID: I20100817000758 |
| Provider Name | Marin J Broucek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588942262 PECOS PAC ID: 9234362831 Enrollment ID: I20150811004844 |
| Provider Name | James P Keblesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740620780 PECOS PAC ID: 4082964333 Enrollment ID: I20180906002010 |
| Provider Name | Michael A. Amenta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225511223 PECOS PAC ID: 1557600574 Enrollment ID: I20190308000405 |
| Provider Name | Kerry L Takeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811681497 PECOS PAC ID: 8921468430 Enrollment ID: I20230715000551 |
| Provider Name | Sara A Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629329024 PECOS PAC ID: 8224491097 Enrollment ID: I20230825002635 |
| Provider Name | Madonna Maria Licht |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760549885 PECOS PAC ID: 6901250273 Enrollment ID: I20230921000536 |
| Provider Name | Shantel L Hoelscher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134375819 PECOS PAC ID: 8123479854 Enrollment ID: I20240108000907 |
| Provider Name | Lydia A Dombrowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336696368 PECOS PAC ID: 0345691077 Enrollment ID: I20240108003230 |
| Provider Name | Heather Nicole Crews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780087684 PECOS PAC ID: 8426409160 Enrollment ID: I20240108003279 |
| Provider Name | Emily S Newby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467829333 PECOS PAC ID: 5698126787 Enrollment ID: I20240112003767 |
| Provider Name | Michelle Dianne Wadum Lechner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467591867 PECOS PAC ID: 8820440357 Enrollment ID: I20240119001735 |
| Provider Name | Trisha Michelle Troia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326346313 PECOS PAC ID: 4789021346 Enrollment ID: I20240319002662 |
| Provider Name | Paula M Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881310449 PECOS PAC ID: 7012354335 Enrollment ID: I20240322000764 |
| Provider Name | Tiffany M Minturn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184126021 PECOS PAC ID: 1759729163 Enrollment ID: I20240404001637 |
| Provider Name | Jean Troxell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932340858 PECOS PAC ID: 7416395793 Enrollment ID: I20240405000344 |
| Provider Name | Jana Andrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528416237 PECOS PAC ID: 8224568043 Enrollment ID: I20250210001224 |
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 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 | |
Trauma Therapy Specialties 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 |