Individual provider Active NPI

Laila Khoudeida, PLMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1215741095
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13651 Issued in NE
Practice address
3100 N 14TH St
Lincoln, NE 68521-2134
Phone
(402) 476-1455
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13651 NE Primary

Addresses

Primary practice location

3100 N 14TH St
Lincoln, NE 68521-2134

Mailing address

1021 N 27TH St
Lincoln, NE 68503-1803
Phone (402) 476-1455

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

LicenseStateTypeSpecialty
13651NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestem Health CurrentSince Feb 9, 2025 Accepting new patients
Bluestem Health Mental Health PastSince Feb 9, 2025 Accepting new patients

Locations

3100 N 14th St
Lincoln, NE 68521
Phone (402) 477-6600

1021 N 27th St
Lincoln, NE 68503
Phone (402) 476-1640

Interoperability endpoints

  • Direct secure messaging: laila.khoudeida.p1@direct.bluestemlincoln.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1215741095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031803",
            "telephone_number": "402-476-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N 14TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212134",
            "telephone_number": "402-476-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOUDEIDA",
        "first_name": "LAILA",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.