Individual provider Active NPI

Teresa M Lenzen, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1033101183
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LIMHP - 546 Issued in NE
Practice address
11510 Blondo St
Omaha, NE 68164-3836
Phone
(402) 403-0190
Fax
(402) 932-4121
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 LIMHP - 546 NE Primary

Addresses

Primary practice location

11510 Blondo St
Omaha, NE 68164-3836

Mailing address

11510 Blondo St
Omaha, NE 68164-3836
Phone (402) 403-0190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530004052 NE Practitioner - Mental Health Counselor 6709109408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attachment and Trauma Center of Nebraska LLCGroup PAC ID 5092879148, 12 clinicians

Practice addresses (Care Compare)

638 N 109TH PLZ
Omaha, NE 68154-1722
Phone (402) 403-0190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LIMHP - 546NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Attachment and Trauma Center of Nebraska, LLC Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

638 N 109th Plz
Omaha, NE 68154
Phone (402) 345-2200

Organizations & group practices 1

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1033101183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 BLONDO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643836",
            "telephone_number": "402-403-0190",
            "fax_number": "402-932-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 BLONDO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643836",
            "telephone_number": "402-403-0190",
            "fax_number": "402-932-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZEN",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "LIMHP - 546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.