Individual provider Active NPI

Nanon Renee Perdaems-Vigen, LPC LMHP LANC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
National Provider Identifier
1285627653
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
450 LANC Issued in NE
Practice address
6720 N 30TH St
Omaha, NE 68112-3211
Phone
(402) 457-7778
Fax
(402) 457-7791
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 450 LANC NE Primary
Mental Health Counselor 101YM0800X 2308 LMHP NE
Mental Health Counselor 101YM0800X 1283 LPC NE

Addresses

Primary practice location

6720 N 30TH St
Omaha, NE 68112-3211

Mailing address

5513 N 78TH Ave
Omaha, NE 68134-2218
Phone (402) 964-0447

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
I20240725003105 NE Practitioner - Mental Health Counselor 7315483351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Counseling Center, LLCGroup PAC ID 3971759069, 2 clinicians

Practice addresses (Care Compare)

5658 N 103Rd St
Omaha, NE 68134-1007
Phone 40257139952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
450 LANCNEMDAddiction (Substance Use Disorder) Counselor
1283 LPCNEMDMental Health Counselor
2308 LMHPNEMDMental Health Counselor
810NEMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Counseling Center, LLC Mental Health CurrentSince Jun 20, 2024 Accepting new patients

Locations

5658 N 103rd St
Omaha, NE 68134
Phone 4025713995 ext. 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285627653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 N 78TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681342218",
            "telephone_number": "402-964-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681123211",
            "telephone_number": "402-457-7778",
            "fax_number": "402-457-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDAEMS-VIGEN",
        "first_name": "NANON",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPC LMHP LANC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "450 LANC",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2308 LMHP",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1283 LPC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.