| Fireside Counseling Llc | |
|
7701 Pacific St Ste 100 Omaha NE 68114-5480 | |
| (402) 216-1789 | |
| Not Available |
| Full Name | Fireside Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 7701 Pacific St Ste 100, Omaha, Nebraska |
| Authorized Official Name and Position | Michael Andrew Green (THERAPIST) |
| Authorized Official Contact | 4022161789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fireside Counseling Llc 7701 Pacific St Ste 100 Omaha NE 68114-5480 Ph: (402) 216-1789 | Fireside Counseling Llc 7701 Pacific St Ste 100 Omaha NE 68114-5480 Ph: (402) 216-1789 |
| NPI Number | 1851766034 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 01/08/2021 |
| Certification Date | 01/08/2021 |
| Medicare PECOS PAC ID | 9436571601 |
|---|---|
| Medicare Enrollment ID | O20200616001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851766034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Naomi Kigondu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518451152 PECOS PAC ID: 7416204920 Enrollment ID: I20180716000264 |
| Provider Name | Saraann Staley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790137842 PECOS PAC ID: 0446672778 Enrollment ID: I20200615002968 |
| Provider Name | Maureen Gatere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316550072 PECOS PAC ID: 4385061985 Enrollment ID: I20200827001925 |
| Provider Name | Jessica Lee Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972157048 PECOS PAC ID: 1052726627 Enrollment ID: I20210211001595 |
| Provider Name | Melissa Ann Jansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750988325 PECOS PAC ID: 9436536158 Enrollment ID: I20220519000317 |
| Provider Name | Dena M. Stemm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174642730 PECOS PAC ID: 9830565373 Enrollment ID: I20221025000309 |
| Provider Name | Katharine Elisabeth Alford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659987626 PECOS PAC ID: 5496196313 Enrollment ID: I20240509002025 |
| Provider Name | Andrew Robert Vuorela |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295440659 PECOS PAC ID: 7012457047 Enrollment ID: I20240905001595 |
| Provider Name | Lacinda Urbanski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235537986 PECOS PAC ID: 5799021465 Enrollment ID: I20240912001490 |
| Provider Name | Michael Andrew Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063744167 PECOS PAC ID: 0648684241 Enrollment ID: I20241004000321 |
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