Provider Demographics
NPI:1538617733
Name:COLIBRI COUNSELING LLC
Entity type:Organization
Organization Name:COLIBRI COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CZAPLA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LIMHP
Authorized Official - Phone:402-770-0190
Mailing Address - Street 1:13911 GOLD CIRCLE
Mailing Address - Street 2:STE 240
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2376
Mailing Address - Country:US
Mailing Address - Phone:402-770-0190
Mailing Address - Fax:531-999-2356
Practice Address - Street 1:13911 GOLD CIRCLE
Practice Address - Street 2:STE 240
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2376
Practice Address - Country:US
Practice Address - Phone:402-770-0190
Practice Address - Fax:531-999-2356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-15
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026241100Medicaid
NE10026241101Medicaid