MR. KYLE SHEA SPEARS (NPI# 1639447139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639447139 |
| Entity Type | Individual |
| Full Name | MR. KYLE SHEA SPEARS |
| Credential | LMFT LIMHP |
| Practice Address |
638 N 109th Plz Omaha NE 68154-1722 |
| Practice Telephone | 4024030190 |
| Practice Fax Number | 4029324121 |
| Mailing Telephone | 4024030190 |
| Mailing Fax Number | 4029324121 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2015-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15057 | IA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1457 | NE | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 374 | IA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 167 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409865 | Kyle Spears | Case Manager/Care Coordinator | 57523 Moccasin Trail Rd, Prague, OK 74864-1143 | 2017-10-31 |
| Street Address |
638 N 109TH PLZ |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101183 | Teresa M Lenzen | Counselor | 638 N 109th Plz, Omaha, NE 68154-1722 | 2005-08-16 |
| 1427353440 | Pamela Sue Osborne | Social Worker | 638 N 109th Plz, Omaha, NE 68154-1722 | 2011-01-22 |
| 1881866929 | Attachment and Trauma Center of Nebraska, LLC | Psychologist | 638 N 109th Plz, Omaha, NE 68154-1722 | 2008-03-28 |
| 1194935593 | Counseling for Growth & Healing | Community/Behavioral Health | 638 N 109th Plz, Omaha, NE 68154-1722 | 2007-05-23 |
| 1891728077 | Dawn Petina Daniels | Licensed Practical Nurse | 638 N 109th Plz, Omaha, NE 68154-1722 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023321 | Omaha Mental Health LLC | Counselor | 12305 Gold St Ste 13, Omaha, NE 68144-2760 | 2020-11-04 |
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1497368476 | Jennifer Cherney | Counselor | 9218 Bedford Ave, Omaha, NE 68134-4726 | 2020-08-28 |
| 1356959530 | Wonderful Counselor | Counselor | 1524 Cuming St Apt 309, Omaha, NE 68102-4435 | 2020-07-14 |
| 1295357069 | Tracy N Gilman | Counselor | 42nd and Dewey St, Omaha, NE 68198-1023 | 2020-05-14 |
| 1609498609 | Moreno Therapy, PC, LLC | Counselor | 2620 N 132nd Ave, Omaha, NE 68164-4023 | 2020-05-12 |
| 1992334494 | Benjamin Daniel Wright | Counselor | 6206 S 37th St, Omaha, NE 68107-3840 | 2020-04-06 |
| 1558995662 | Cord Where Science Meets Connection LLC | Counselor | 10826 Old Mill Rd Ste 103a, Omaha, NE 68154-2660 | 2020-02-27 |
| 1124652656 | Be Kind Counseling LLC | Counselor | 4917 Underwood Ave # 3, Omaha, NE 68132-2421 | 2020-02-24 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.