Individual provider Active NPI

Elaine Leona Blickenstaff, LIMHP, LPC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1245373174
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2017LMHP 1401CPC Issued in NE
Practice address
7602 Pacific St Ste 102
Omaha, NE 68114-5405
Phone
(402) 680-8280
NPI assigned
Feb 14, 2007
Last updated
Sep 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 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 2017LMHP 1401CPC NE Primary

Addresses

Primary practice location

7602 Pacific St Ste 102
Omaha, NE 68114-5405

Mailing address

7602 Pacific St Ste 102
Omaha, NE 68114-5405
Phone (402) 680-8280

Other identifiers 3

IdentifierTypeStateIssuer
242064OtherNEMIDLANDS CHOICE
47082303526MedicaidNE
84644OtherNEBLUE CROSS BLUE SHIELD

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
I20231213002371 NE Practitioner - Mental Health Counselor 4183073372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Family Services of NE IncGroup PAC ID 2163324773, 17 clinicians
Lotus Centre LLCGroup PAC ID 5991289084, 2 clinicians

Practice addresses (Care Compare)

11515 S 39TH St
Suite 300
Bellevue, NE 68123-5206
Phone (402) 292-9105

7602 Pacific St
Suite 102
Omaha, NE 68114-5405
Phone (402) 680-8280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017LMHP 1401CPCNEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Lotus Centre LLC CurrentSince Jan 18, 2026 Accepting new patients
Beneficial Behavioral Health Services Past Accepting new patients
Beneficial Behavioral Health Past Accepting new patients

Locations

11515 S 39th St
Ste 300
Bellevue, NE 68123
Phone (402) 292-9105

124 S 24th St
Ste 230
Omaha, NE 68102
Phone (402) 591-5078

2661 Douglas St
Omaha, NE 68131
Phone (402) 455-9757

7602 Pacific St
Ste 102
Omaha, NE 68114
Phone (402) 392-1818

7929 W Center Rd
Omaha, NE 68124
Phone (402) 342-7007

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759017600000",
    "number": "1245373174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 PACIFIC ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145405",
            "telephone_number": "402-680-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 PACIFIC ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145405",
            "telephone_number": "402-680-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLICKENSTAFF",
        "first_name": "ELAINE",
        "middle_name": "LEONA",
        "name_prefix": "Ms.",
        "credential": "LIMHP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2017LMHP 1401CPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "242064",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082303526",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84644",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.