Active NPI
Elisha Ann Sieck, LMHP
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1285716449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2779
- Practice address
- 4535 Normal Blvd
Suite 262
Lincoln, NE 68506-5576 - Phone
- (402) 499-3880
- Fax
- (402) 327-9746
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2779 | NE | Primary |
Addresses
Primary practice location
4535 Normal Blvd
Suite 262
Lincoln, NE 68506-5576
Mailing address
4535 Normal Blvd
Suite 262
Lincoln, NE 68506-5576
Phone (402) 499-3880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025153500 | Medicaid | NE | |
| 85207 | Other | NE | BCBS OF NE PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2779 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285716449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 NORMAL BLVD",
"address_2": "SUITE 262",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065576",
"telephone_number": "402-499-3880",
"fax_number": "402-327-9746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 NORMAL BLVD",
"address_2": "SUITE 262",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065576",
"telephone_number": "402-499-3880",
"fax_number": "402-327-9746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIECK",
"first_name": "ELISHA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025153500",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NE PROVIDER #",
"identifier": "85207",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.