Individual provider Active NPI

Vickie Peyton, MSW, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1063554459
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180 Issued in NE
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

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
180NEMDGenetic Counselor (M.S.)
871NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc Mental Health PastSince Nov 1, 2009 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.

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

Verify at the official NPI Registry.