Individual provider Active NPI

David Oliverius, LIMHP LADC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1235658378
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2238 Issued in NE
Practice address
415 S 25TH Ave
Omaha, NE 68131-3630
Phone
(402) 717-4336
Fax
(402) 717-5499
NPI assigned
Sep 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 2238 NE Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1283 NE

Addresses

Primary practice location

415 S 25TH Ave
Omaha, NE 68131-3630

Mailing address

8731 Polk St
Ralston, NE 68127-4417
Phone (402) 201-3291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008003442 NE Practitioner - Mental Health Counselor 2163929860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7261 Mercy Rd
Omaha, NE 68124-2311

8745 Orchard Ave
Omaha, NE 68127-2539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1283NEMDMental Health Counselor
2238NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health CurrentSince Oct 1, 2025 Accepting new patients
Alegent Creighton Health CurrentSince Oct 1, 2025 Accepting new patients
Lutheran Family Services of NE, Inc Addiction (Substance Use Disorder) PastSince Nov 1, 2009 Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

Organizations & group practices 3

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": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1235658378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8731 POLK ST",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681274417",
            "telephone_number": "402-201-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 25TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313630",
            "telephone_number": "402-717-4336",
            "fax_number": "402-717-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERIUS",
        "first_name": "DAVID",
        "credential": "LIMHP LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2238",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.