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

Christopher Fenwick

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184130379

Christopher Fenwick is a Mental Health Counselor in Omaha, Nebraska. Qualified in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
9
Licensed in
NE
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

11204 Davenport St Ste 209
Omaha, NE 68154-2658
Phone: (402) 728-8199
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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 · Licence 2425 (NE)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1321 (NE)

Record details

NPI number1184130379
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 26, 2017
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address11204 Davenport St Ste 209, Omaha, NE 68154-2658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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