MR. MIKE MORENO (NPI# 1861950818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861950818 |
| Entity Type | Individual |
| Full Name | MR. MIKE MORENO |
| Practice Address |
2420 W Omaha Ave Norfolk NE 68701-1526 |
| Practice Telephone | 7122769000 |
| Mailing Telephone | 7122769000 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 11763 | NE | Behavioral Health & Social Service Providers |
| Street Address |
2420 W OMAHA AVE |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567666 | Terri Widen | Counselor | 110 Maycox Ave Ste 3, Norfolk, VA 23505-3433 | 2020-01-13 |
| 1093357048 | Krystal Vaughn | Counselor | 870 N Military Hwy Ste 208, Norfolk, VA 23502-3638 | 2019-10-10 |
| 1316404544 | Bold Ruler, LLC | Counselor | 957 W 21st St Ste L, Norfolk, VA 23517-1536 | 2019-02-24 |
| 1801363189 | Positive Wellness and Recovery LLC | Counselor | 5900 E Virginia Beach Blvd Ste 302, Norfolk, VA 23502-2488 | 2018-10-25 |
| 1922546746 | Family Wellness and Recovery Center, LLC | Counselor | 5121 E. Virginia Beach Blvd, Suite C-2, Norfolk, VA 23502-4041 | 2017-02-01 |
| 1457750051 | Kevin Weaver | Counselor | 846 W 35th St, Norfolk, VA 23508-3011 | 2014-08-19 |
| 1295144343 | Bethany Arcand | Counselor | 934 Armfield Cir Apt 204, Norfolk, VA 23505-3235 | 2014-08-02 |
| 1598104978 | Jennifer Lee Levine | Counselor | 206 Dedham St, Norfolk, MA 02056-1667 | 2013-06-19 |
| 1508140856 | Susan Cianfaglione | Counselor | 1526 Versailles Ave, No. 1, Norfolk, VA 23509-1146 | 2011-10-05 |
| 1316232085 | Nicole J. Turner Beardslee | Counselor | 802 Custer Ave., Suite A, Norfolk, NE 68701 | 2011-06-10 |
| Find all providers in NORFOLK | ||||
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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.