Look up the most recent NPI and PECOS records

Komi Tony Amededji

Counselor

Behavioral Health & Social Service Providers

268 N 115th St Ste 1, Omaha, NE 68154-2502

PECOS Enrollment

Based on the most recent information from CMS, provider Komi Tony Amededji does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:51 AM.

Profile Details

Provider ID
1194169722
Provider Type
Individual
Full Name
Amededji, Komi Tony
Title
Mr.
Credential
M.S., LIMHP

Gender
Male
Sole Proprietor
No
Enumeration Date
4/25/2013
Last Updated
6/9/2025

Contact Information

Practice Location

268 N 115th St Ste 1, Omaha, NE 68154-2502

(402) 957-6694

Unlisted Fax

Mailing Location

1941 S 42nd St Ste 538, Omaha, NE 68105-2945

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 9931 Nebraska
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License 1823 Nebraska
Code 3747P1801X	Description Technician Nursing Service Related Providers	License Unlisted Issuer

Komi Tony Amededji

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Wheeler, Anna Joy

Cook, Debra

Sather, Susan Diane

Kleiner, Keaton

Brendis, Mary Elizabeth

Isely, Sarah Renee

Nelsen, Susan Diane

Worthwhile Counseling Llc

Kurylo, Robin

Jensen, Kristina