Kimberly D Mackey, MS, LIMHP, LMHP, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1714 Issued in NE

Practice address

Boys Town National Research Hospital RTC2
14092 Hospital Road
Boys Town, NE 68010

Phone

(531) 355-5409

Fax

(531) 355-5499

NPI assigned

Apr 24, 2014

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1205256500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOYS TOWN NATIONAL RESEARCH HOSPITAL RTC2",
            "address_2": "14092 HOSPITAL ROAD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "68010",
            "telephone_number": "531-355-5409",
            "fax_number": "531-355-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOYS TOWN NATIONAL RESEARCH HOSPITAL RTC2",
            "address_2": "14092 HOSPITAL ROAD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "68010",
            "telephone_number": "531-355-5409",
            "fax_number": "531-355-5499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13415 Gertrude St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681386120",
            "country_code": "US",
            "telephone_number": "402-957-1769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "credential": "MS, LIMHP, LMHP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "4921",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1714",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Christine Lieneman
• Stephanie Paige Liollio, MS
• Maxwell Jared Luber, PLMHP
• Yancheng Luo, MD
• Emily Mace
• Erica Nell Martin, MD
• Alexa Danielle Matlack
• Paige McCoy
• Amanda M McLean, LP
• James Lorenz Merle

• Mental Health Counselor in Boys Town, NE
• Providers in Boys Town, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.