Active NPI
Leann Maxine Tice, L.MHP, LPC
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1265601827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3704
- Practice address
- 1919 S 40TH St
Suite 212
Lincoln, NE 68506-5243 - Phone
- (402) 441-9280
- Fax
- (402) 441-9279
- NPI assigned
- Feb 27, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 8555 | NE | |
| Mental Health Counselor | 101YM0800X | 3704 | NE | Primary |
| Professional Counselor | 101YP2500X | 1843 | NE |
Addresses
Primary practice location
1919 S 40TH St
Suite 212
Lincoln, NE 68506-5243
Mailing address
1919 S 40TH St
Suite 212
Lincoln, NE 68506-5243
Phone (402) 441-9280
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96079 | Other | NE | BLUECROSS & BLUE SHIELD |
| 456304000 | Other | NE | MAGELLAN MANAGED CARE |
| 456304000 | Medicaid | NE | |
| 470756369-26 | Medicaid | NE | |
| 470774254-26 | Medicaid | NE |
Other names 1
- Ms. Leann Maxine Rasmussen
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3704 | NE | MD | Mental Health Counselor |
| 1843 | NE | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1265601827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S 40TH ST",
"address_2": "SUITE 212",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065243",
"telephone_number": "402-441-9280",
"fax_number": "402-441-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S 40TH ST",
"address_2": "SUITE 212",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065243",
"telephone_number": "402-441-9280",
"fax_number": "402-441-9279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICE",
"first_name": "LEANN",
"middle_name": "MAXINE",
"name_prefix": "Mrs.",
"credential": "L.MHP, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "8555",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3704",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1843",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS & BLUE SHIELD",
"identifier": "96079",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MANAGED CARE",
"identifier": "456304000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "456304000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470756369-26",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470774254-26",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEANN",
"last_name": "RASMUSSEN",
"middle_name": "MAXINE",
"prefix": "MS.",
"credential": "LMHP",
"code": "1",
"type": "Former Name"
}
]
}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 Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.