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

Shah Hasan, PLMHP

Individual provider Marriage & Family Therapist · NPI 1205492907

Shah Hasan, PLMHP is a Marriage and Family Therapist in Omaha, Nebraska. Qualified in 2024, 2 years ago. Practices with Brightside Medical PA, a 95-clinician group and accepts Medicare assignment. Licensed in Illinois, Nebraska and Virginia.

Years since qualifying
2
Licensed in
IL, NE, VA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

139 S 40th St
Omaha, NE 68131-3003
Phone: (402) 559-0390
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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 11850 (NE)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 166001348 (IL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 0717001774 (VA)

Record details

NPI number1205492907
Entity typeIndividual (Type 1)
GenderMale
Credentials PLMHP
Sole proprietorNo
NPI enumeratedMay 17, 2019
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Brightside Medical Pa — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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