Healthcare Provider Details

I. General information

NPI: 1801733951
Provider Name (Legal Business Name): VIKTORIYA GRIGOREVNA HOEGEMEYER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4917 UNDERWOOD AVE
OMAHA NE
68132-2421
US

IV. Provider business mailing address

751 N 163RD ST
OMAHA NE
68118-2507
US

V. Phone/Fax

Practice location:
  • Phone: 402-235-8045
  • Fax:
Mailing address:
  • Phone: 402-350-3159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14837
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: