Individual provider Active NPI

Linda Marie Vasquez-Evans, MS, LIMHP, NCC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1164465423
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
360 Issued in NE
Practice address
7701 Pacific St Ste 101
Omaha, NE 68114-5480
Phone
(402) 889-6359
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2817 NE
Mental Health Counselor 101YM0800X 360 NE Primary

Addresses

Primary practice location

7701 Pacific St Ste 101
Omaha, NE 68114-5480

Mailing address

7701 Pacific St Ste 101
Omaha, NE 68114-5480
Phone (402) 889-6359

Other identifiers 1

IdentifierTypeStateIssuer
10025215700MedicaidNE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
360NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Able Therapy, Inc. Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1164465423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 PACIFIC ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145480",
            "telephone_number": "402-889-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 PACIFIC ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145480",
            "telephone_number": "402-889-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ-EVANS",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, LIMHP, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2817",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025215700",
            "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 Aug 7, 2023; 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.