Individual provider Active NPI

Amy Riessland, LMSW, LIMHP, LISW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1023158789
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3252 Issued in NE
Practice address
124 S 24TH St Ste 230
Omaha, NE 68102-1226
Phone
(402) 978-5656
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3252 NE Primary

Addresses

Primary practice location

124 S 24TH St Ste 230
Omaha, NE 68102-1226

Mailing address

2929 S 120TH St
Omaha, NE 68144-4310
Phone (402) 882-5840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080117000650 IA Practitioner - Clinical Social Worker 8224119094 Reassigns benefits to 1 organization
I20250206000308 NE Practitioner - Clinical Social Worker 8224119094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1244NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Riessland LLC CurrentSince Nov 10, 2024 Accepting new patients
Lutheran Family Services of NE, Inc Mental Health PastSince Nov 1, 2009 Accepting new patients
Horizon Therapy Group, LLC PastSince Jun 5, 2006 Accepting new patients

Locations

2929 S 120th St
Omaha, NE 68144
Phone (308) 631-8666

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1023158789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444310",
            "telephone_number": "402-882-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S 24TH ST STE 230",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021226",
            "telephone_number": "402-978-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESSLAND",
        "first_name": "AMY",
        "credential": "LMSW, LIMHP, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.