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NPI Code Detail

MEDICARE: CONNECTED GROUP LLC

MEDICARE: CONNECTED GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1043911241
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECTED GROUP LLC
Provider Business Mailing Address
First Line : 3803 N 153RD ST STE 200
Second Line :
City : OMAHA
State : NE
Zip : 68116-5176
Country : US
Telephone Number : 402-999-7713
Fax Number :
Provider Business Practice Location Address
First Line : 3803 N 153RD ST STE 200
Second Line :
City : OMAHA
State : NE
Zip : 68116-5176
Country : US
Telephone Number : 402-999-7713
Fax Number : 402-939-0524
Authorized Official
Title or Position : OWNER
Name : BROOKE STEPPAT
Credential :
Telephone Number : 402-679-1970
Provider Enumeration Date : 03/14/2023
Last Update Date : 08/20/2025

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Directions to “CONNECTED GROUP LLC ” Practice Location

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