Active NPI
Lee Dittman, PLMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1336560523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9923
- Practice address
- 4060 Vinton St
100
Omaha, NE 68105-3862 - Phone
- (402) 212-8307
- NPI assigned
- Dec 15, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 9923 | NE | Primary |
Addresses
Primary practice location
4060 Vinton St
100
Omaha, NE 68105-3862
Mailing address
4060 Vinton St
100
Omaha, NE 68105-3862
Phone (402) 212-8307
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9923 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387065600000",
"number": "1336560523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 VINTON ST",
"address_2": "100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681053862",
"telephone_number": "402-212-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 VINTON ST",
"address_2": "100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681053862",
"telephone_number": "402-212-8307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMAN",
"first_name": "LEE",
"name_prefix": "Mr.",
"credential": "PLMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-15",
"last_updated": "2013-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "9923",
"primary": true
}
],
"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 Dec 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.