Active NPI
Peggy Vannortwick, LIMHP LMHP LADC
- Professional Counselor
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 996
- Practice address
- 12020 Shamrock Plaza
Omaha, NE 68028 - Phone
- (402) 639-0952
- NPI assigned
- Jul 2, 2010
- Last updated
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 996 | NE | Primary |
Addresses
Primary practice location
12020 Shamrock Plaza
Omaha, NE 68028
Mailing address
12020 Shamrock PLZ
Ste 100
Omaha, NE 68154-3537
Phone (402) 639-0952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 996 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Health | Current | Accepting new patients | |
| Alegent Creighton Health | Current | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
Organizations & group practices 2
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": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1114239472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12020 SHAMROCK PLZ",
"address_2": "STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543537",
"telephone_number": "402-639-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12020 SHAMROCK PLAZA",
"city": "OMAHA",
"state": "NE",
"postal_code": "68028",
"telephone_number": "402-639-0952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNORTWICK",
"first_name": "PEGGY",
"credential": "LIMHP LMHP LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "996",
"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 Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.