Active NPI
Vickie Peyton, MSW, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1063554459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180
- Practice address
- 3031 S 87TH St
Omaha, NE 68124-3042 - Phone
- (402) 880-8535
- Fax
- (402) 763-4492
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 871 | NE | |
| Social Worker | 104100000X | 379 | NE | |
| Mental Health Counselor | 101YM0800X | 180 | NE | Primary |
Addresses
Primary practice location
3031 S 87TH St
Omaha, NE 68124-3042
Mailing address
3031 S 87TH St
Omaha, NE 68124-3042
Phone (402) 880-8535
Other practice location 1
3549 Fontenelle Blvd
Omaha, NE 68104-3601
Phone (402) 451-0787
Other practice location 2
124 S 24th St Ste 230
Omaha, NE 68102-1226
Phone (402) 678-5656
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141209000807 | NE | Practitioner - Clinical Social Worker | 2567784275 | Practice locations: Omaha, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3031 S 87TH St
Omaha, NE 68124-3042
Phone (402) 880-3535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180 | NE | MD | Genetic Counselor (M.S.) |
| 871 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Family Services of NE, Inc | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1639121726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1063554459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 S 87TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243042",
"telephone_number": "402-880-8535",
"fax_number": "402-763-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 S 87TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243042",
"telephone_number": "402-880-8535",
"fax_number": "402-763-4492"
}
],
"practiceLocations": [
{
"address_1": "3549 Fontenelle Blvd",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681043601",
"country_code": "US",
"telephone_number": "402-451-0787",
"fax_number": "402-451-0360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "124 S 24th St Ste 230",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681021226",
"country_code": "US",
"telephone_number": "402-678-5656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEYTON",
"first_name": "VICKIE",
"credential": "MSW, LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "871",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NE",
"license": "379",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "180",
"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 Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.