Individual provider Active NPI

Kathleen Diane Lee, LCSW LMHP PLADC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
National Provider Identifier
1316072457
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
P337 Issued in NE
Practice address
3300 No 60TH St
Omaha, NE 68104
Phone
(402) 554-0520
Fax
(402) 554-0365
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 P337 NE Primary
Mental Health Counselor 101YM0800X 1793 NE
Clinical Social Worker 1041C0700X 830 NE

Addresses

Primary practice location

3300 No 60TH St
Omaha, NE 68104

Mailing address

3300 No 60TH St
Omaha, NE 68104
Phone (402) 554-0520

Other identifiers 2

IdentifierTypeStateIssuer
47037661200MedicaidNE
1025225100OtherNEMEDICAID

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P337NEMDAddiction (Substance Use Disorder) Counselor
1793NEMDMental Health Counselor
830NEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316072457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NO 60TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68104",
            "telephone_number": "402-554-0520",
            "fax_number": "402-551-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NO 60TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68104",
            "telephone_number": "402-554-0520",
            "fax_number": "402-554-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KATHLEEN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LCSW LMHP PLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P337",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1793",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "830",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037661200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "1025225100",
            "state": "NE"
        }
    ],
    "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 Sep 11, 2025; 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.