Tia Nordyke, Ma, Limhp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1499 Issued in NE

Legal business name

TIA NORDYKE, MA, LIMHP

Practice address

5630 S 84TH St Ste 104
Lincoln, NE 68516-4470

Phone

(402) 309-3892

NPI assigned

Dec 13, 2016

Last updated

Dec 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tia Marie Nordyke King, M.A.NPI 1164561205

Title

Limhp

Phone

(402) 309-3892

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tia Marie Nordyke King, MA LIMHP

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1164561205
  NPD (past) Authorized official

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1285178087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 S 84TH ST STE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164470",
            "telephone_number": "402-309-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 S 84TH ST STE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164470",
            "telephone_number": "402-309-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIA NORDYKE, MA, LIMHP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "NORDYKE KING",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LIMHP",
        "authorized_official_telephone_number": "402-309-3892",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "48027",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "233141",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025867800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.