Active NPI
Ricky Lee Eppenbaugh, LMHP
- Addiction (Substance Use Disorder) Counselor
- Omaha, NE
National Provider Identifier
1093869208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3062
- Practice address
- 5115 F St.
Omaha, NE 68117 - Phone
- (402) 397-9866
- Fax
- (402) 397-1404
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3062 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 3062 | NE |
Addresses
Primary practice location
5115 F St.
Omaha, NE 68117
Mailing address
5115 F St.
Omaha, NE 68117
Phone (402) 397-9866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470765107-00 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3062 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1093869208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 F ST.",
"city": "OMAHA",
"state": "NE",
"postal_code": "68117",
"telephone_number": "402-397-9866",
"fax_number": "402-397-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 F ST.",
"city": "OMAHA",
"state": "NE",
"postal_code": "68117",
"telephone_number": "402-397-9866",
"fax_number": "402-397-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPENBAUGH",
"first_name": "RICKY",
"middle_name": "LEE",
"credential": "LMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "3062",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3062",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470765107-00",
"state": "NE"
}
],
"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 11, 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.