Individual provider Active NPI

Mark William Erickson, MS, LIMHP, LCPC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1285291088
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2676 Issued in NE
Practice address
17330 Wright St Ste 105
Omaha, NE 68130-2157
Phone
(913) 380-4449
Fax
(913) 222-1756
NPI assigned
May 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 03070 KS
Mental Health Counselor 101YM0800X 11855 NE
Mental Health Counselor 101YM0800X 5584 NE
Mental Health Counselor 101YM0800X 2676 NE Primary
Mental Health Counselor 101YM0800X 2662 NE

Addresses

Primary practice location

17330 Wright St Ste 105
Omaha, NE 68130-2157

Mailing address

7131 W 135TH St # 1023
Overland Park, KS 66223-1238
Phone (608) 658-4979

Other practice location 1

12980 Metcalf Ave Ste 325
Overland Park, KS 66213-2651
Phone (913) 380-4449

Other practice location 2

3100 Broadway Blvd Ste 1209
Kansas City, MO 64111-2592
Phone (913) 380-4449

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
03070KSMDMental Health Counselor
11855NEMDMental Health Counselor
5584NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Competitive Edge Therapies, LLC CurrentSince Oct 24, 2021 Accepting new patients

Locations

3100 Broadway Blvd
Ste 1209
Kansas City, MO 64111
Phone (913) 380-4449

3677 N 129th St
Omaha, NE 68164
Phone (402) 715-0382

Organizations & group practices 1

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1285291088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 W 135TH ST # 1023",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231238",
            "telephone_number": "608-658-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 WRIGHT ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302157",
            "telephone_number": "913-380-4449",
            "fax_number": "913-222-1756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12980 Metcalf Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662132651",
            "country_code": "US",
            "telephone_number": "913-380-4449",
            "fax_number": "913-222-1756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Broadway Blvd Ste 1209",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641112592",
            "country_code": "US",
            "telephone_number": "913-380-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "credential": "MS, LIMHP, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "03070",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11855",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5584",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2676",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.