Monica L Blizek, LIMHP, CMSW, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Omaha, NE
NPI 1003012139 · NPPES record last updated Aug 26, 2016
Key facts
- NPI
- 1003012139
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LADC 824 (NE)
- Practice address
- 8502 Mormon Bridge Rd
Omaha, NE 68152-1929 - Phone
- (402) 991-8509
- Fax
- (402) 455-7050
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LADC 824 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| LIMHP 473 | NE | MD | Mental Health Counselor |
| 917 | NE | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Family Services of NE, Inc | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LADC 824 | NE | Yes |
| Mental Health Counselor | 101YM0800X | LIMHP 473 | NE |
Addresses
Primary practice location
8502 Mormon Bridge Rd
Omaha, NE 68152-1929
Mailing address
8502 Mormon Bridge Rd
Omaha, NE 68152-1929
Phone (402) 991-8509
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 348833000 | Other | NE | MAGELLAN MANAGED CARE |
| 82146 | Other | NE | BLUE CROSS BLUE SHIELD |
Other providers in Omaha, NE
- Donny Blevins
- Elaine Leona Blickenstaff
- Patience Blink
- Bliss Psychotherapy & Consulting, LLC
- Tyler Andrew Bliss
- Megan Blobaum
- Sarah Bloch
- Adam Laron Block
- Cheryl E Block
- Margaret Block
All providers in Omaha, NE · Addiction (Substance Use Disorder) Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.