Individual provider Active NPI

Lisa Marie Witkop, LMHP, LPC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1033997176
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2179 Issued in NE
Practice address
10845 Harney St
Omaha, NE 68154-2639
Phone
(402) 916-9421
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1225 NE
Mental Health Counselor 101YM0800X 2179 NE Primary

Addresses

Primary practice location

10845 Harney St
Omaha, NE 68154-2639

Mailing address

2701 Blackhawk Dr
Bellevue, NE 68123-3715
Phone (402) 290-1451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1225NEMDProfessional Counselor
2179NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Citycare Counseling, Inc Mental Health CurrentSince Sep 29, 2024 Accepting new patients

Locations

10845 Harney St
Omaha, NE 68154
Phone (402) 330-3360

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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1033997176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BLACKHAWK DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681233715",
            "telephone_number": "402-290-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 HARNEY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542639",
            "telephone_number": "402-916-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOP",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMHP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1225",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.