Individual provider Active NPI

Brianna Lynn Sullivan, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1063092260
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3813 Issued in NE
Practice address
9239 W Center Rd Ste 201
Omaha, NE 68124-1900
Phone
(402) 354-3370
Fax
(402) 354-5454
NPI assigned
Apr 12, 2021
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3813 NE Primary
Professional Counselor 101YP2500X LPC.0022165 CO

Addresses

Primary practice location

9239 W Center Rd Ste 201
Omaha, NE 68124-1900

Mailing address

825 S 169TH St
Omaha, NE 68118-9300
Phone (402) 354-3370

Other names 1

  • Brianna Vitera Former name

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
I20240708003117 NE Practitioner - Mental Health Counselor 8628513249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0022165COMDProfessional Counselor
3813NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Behavioral Health CurrentSince May 1, 2024 Accepting new patients
Omni Behavioral Health CurrentSince May 1, 2024 Accepting new patients
Nebraska Methodist Hospital Counselor Past Accepting new patients
Physicians Clinic Inc Past Accepting new patients

Locations

2300 S 13th St
Lincoln, NE 68502
Phone (402) 474-3322

5115 F St
Omaha, NE 68117
Phone (402) 397-9866

8715 Oak St
Omaha, NE 68124
Phone (402) 333-0898

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1063092260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S 169TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681189300",
            "telephone_number": "402-354-3370",
            "fax_number": "402-354-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-354-3370",
            "fax_number": "402-354-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRIANNA",
        "middle_name": "LYNN",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3813",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0022165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "VITERA",
            "credential": "LIMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.