Individual provider Active NPI

Allison Kirkebak

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1083595177
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14549 Issued in NE
Practice address
4545 Dodge St
Omaha, NE 68132-3251
Phone
(402) 553-6000
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8260 NE
Mental Health Counselor 101YM0800X 14549 NE Primary

Addresses

Primary practice location

4545 Dodge St
Omaha, NE 68132-3251

Mailing address

2011 S 163Rd Cir
Omaha, NE 68130-1730
Phone (402) 213-7028

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
14549NEMDMental Health Counselor
8260NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Saving Institute Mental Health CurrentSince Sep 14, 2025 Accepting new patients

Locations

4545 Dodge St
Omaha, NE 68132
Phone (402) 553-6000

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, 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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1083595177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S 163RD CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301730",
            "telephone_number": "402-213-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323251",
            "telephone_number": "402-553-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKEBAK",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "8260",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "14549",
            "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 8, 2025; 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.