Individual provider Active NPI

Marcia Pitlor, CPC LMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1093707226
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHP 2282 Issued in NE
Practice address
11212 Davenport St
Omaha, NE 68154-5624
Phone
(402) 552-7012
Fax
(402) 552-7016
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CPC 1271 NE
Mental Health Counselor 101YM0800X LMHP 2282 NE Primary

Addresses

Primary practice location

11212 Davenport St
Omaha, NE 68154-5624

Mailing address

13303 Eagle Run Dr
Omaha, NE 68164-2477
Phone (402) 496-4632

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
CPC 1271NEMDCounselor
LMHP 2282NEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1093707226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 EAGLE RUN DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642477",
            "telephone_number": "402-496-4632",
            "fax_number": "402-552-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545624",
            "telephone_number": "402-552-7012",
            "fax_number": "402-552-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITLOR",
        "first_name": "MARCIA",
        "credential": "CPC LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "CPC 1271",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "LMHP 2282",
            "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 Jan 28, 2013; 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.