Katie Lee Bacon, MA MASTER OF ARTS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3399 Issued in NE

Practice address

7501 O St
Suite 100
Lincoln, NE 68510-2485

Phone

(402) 477-0651

Fax

(402) 477-0332

NPI assigned

Feb 5, 2007

Last updated

Dec 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Life Resources, LLC

  • Counselor
  • Lincoln, NE
  • NPI 1235496662
  NPD
• The Insight Program, P.C.

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1013326271
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1073652111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 O ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102485",
            "telephone_number": "402-477-0651",
            "fax_number": "402-477-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 O ST",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102485",
            "telephone_number": "402-477-0651",
            "fax_number": "402-477-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "KATIE",
        "middle_name": "LEE",
        "credential": "MA MASTER OF ARTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3399",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96065",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany S Back
• Stephanie Backemeyer
• Ami J Backencamp
• Krista Backer
• Jennifer Bacon, EMT
• Nicole Bad Moccasin, CHW, CNA
• Ronald Lee Baddorf, LAC
• Amanda Jene Bade, RN
• Michal Bade
• Leah Badeer

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.