Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renewed Vision Counseling and Developmental Disability Center PC

Organization Mental Health Counselor · NPI 1174122170

Renewed Vision Counseling and Developmental Disability Center PC provides Mental Health Counselor services in Omaha, Nebraska. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4610 S 133rd St Ste 106
Omaha, NE 68137-1133
Phone: (402) 275-6413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1174122170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Marshall — Owner · (531) 876-7455
NPI enumeratedOctober 21, 2020
Last updated in NPPESFebruary 26, 2025
Certification dateJuly 2, 2021
Mailing address4642 S. 132nd St, Omaha, NE 68137-1764

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