Active NPI
Lou Ann Patterson, CPC, LMHP
- Counselor
- Omaha, NE
National Provider Identifier
1174515308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CPC 447
- Practice address
- 11212 Davenport St
Omaha, NE 68154-5624 - Phone
- (402) 552-7005
- Fax
- (402) 552-7016
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CPC 447 | NE | Primary |
| Mental Health Counselor | 101YM0800X | LMHP 456 | NE |
Addresses
Primary practice location
11212 Davenport St
Omaha, NE 68154-5624
Mailing address
4839 S 122ND CT
Omaha, NE 68137-2056
Phone (402) 991-0001
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 |
|---|---|---|---|
| CPC 447 | NE | MD | Counselor |
| LMHP 456 | NE | MD | Mental 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": "1783900800000",
"number": "1174515308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4839 S 122ND CT",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372056",
"telephone_number": "402-991-0001",
"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": "402-552-7005",
"fax_number": "402-552-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "LOU ANN",
"credential": "CPC, LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "CPC 447",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "LMHP 456",
"primary": false
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.