Active NPI
Irene L Lines, LCSW,LIMHP,CCTP
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1205873692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1199
- Practice address
- 11414 W Center Rd Ste 321
Omaha, NE 68144-4420 - Phone
- (531) 242-6944
- Fax
- (844) 704-4434
- NPI assigned
- Jun 2, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3035 | NE | |
| Mental Health Counselor | 101YM0800X | 997 | NE | |
| Clinical Social Worker | 1041C0700X | 1199 | NE | Primary |
Addresses
Primary practice location
11414 W Center Rd Ste 321
Omaha, NE 68144-4420
Mailing address
11414 W Center Rd Ste 321
Omaha, NE 68144-4420
Phone (531) 242-6944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025203600 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 997 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 3035 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1205873692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11414 W CENTER RD STE 321",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444420",
"telephone_number": "531-242-6944",
"fax_number": "844-704-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 W CENTER RD STE 321",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444420",
"telephone_number": "531-242-6944",
"fax_number": "844-704-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINES",
"first_name": "IRENE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW,LIMHP,CCTP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3035",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "997",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025203600",
"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 24, 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.