Organization Active NPI

Lisa M. Basile, Ma LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1083818868
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2576 Issued in NE
Legal business name
LISA M. BASILE, MA LLC
Practice address
7561 Main St
Ste. 425
Omaha, NE 68127-3981
Phone
(402) 651-0551
Fax
(402) 651-0551
NPI assigned
Jun 13, 2007
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Lisa M. Basile, MA, LMHPNPI 1164574596
Title
Mental Health Therapist
Phone
(402) 651-0551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2576 NE Primary

Addresses

Primary practice location

7561 Main St
Ste. 425
Omaha, NE 68127-3981

Mailing address

7516 Main St.
Ste. 425
Omaha, NE 68127-3981
Phone (402) 651-0551

Other identifiers 1

IdentifierTypeStateIssuer
1164574596OtherNE1ST NPI ENUMERATOR

Other names 1

  • Lisa M. Basile MA Former legal business name

National Provider Directory

National Provider Directory

Locations

7561 Main St
Ste 425
Ralston, NE 68127
Phone (402) 558-7788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1083818868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 MAIN ST.",
            "address_2": "STE. 425",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273981",
            "telephone_number": "402-651-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7561 MAIN ST",
            "address_2": "STE. 425",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273981",
            "telephone_number": "402-651-0551",
            "fax_number": "402-651-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. BASILE, MA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "BASILE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "402-651-0551",
        "authorized_official_credential": "MA, LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST NPI ENUMERATOR",
            "identifier": "1164574596",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa M. Basile MA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 3, 2017; 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.