Active NPI
Karen K Stacey, LMHP LCSW
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1316926694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 171
- Practice address
- 10824 Old Mill Rd Ste 21
Omaha, NE 68154-2642 - Phone
- (402) 330-6060
- Fax
- (402) 330-6108
- NPI assigned
- Jan 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81 | NE | |
| Clinical Social Worker | 1041C0700X | 171 | NE | Primary |
Addresses
Primary practice location
10824 Old Mill Rd Ste 21
Omaha, NE 68154-2642
Mailing address
10824 Old Mill Rd Ste 21
Omaha, NE 68154-2642
Phone (402) 330-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82301 | Other | NE | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 171 | NE | MD | Mental Health Counselor |
| 81 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1316926694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10824 OLD MILL RD STE 21",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542642",
"telephone_number": "402-330-6060",
"fax_number": "402-330-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10824 OLD MILL RD STE 21",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542642",
"telephone_number": "402-330-6060",
"fax_number": "402-330-6108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACEY",
"first_name": "KAREN",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LMHP LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "81",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "82301",
"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.