Individual provider Active NPI

Lydia Dombrowski, LMHP, CPC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1336696368
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4346 Issued in NE
Practice address
4102 Woolworth Ave
Omaha, NE 68105-1851
Phone
(402) 444-7000
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4346 NE Primary

Addresses

Primary practice location

4102 Woolworth Ave
Omaha, NE 68105-1851

Mailing address

6030 Decatur St
Omaha, NE 68104-4852
Phone (402) 305-8881

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
I20240108003230 NE Practitioner - Mental Health Counselor 0345691077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4346NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Nebraska CurrentSince Jan 1, 2024 Accepting new patients
Douglas County Nebraska CurrentSince Jan 1, 2024 Accepting new patients

Locations

4102 Woolworth Ave
Omaha, NE 68105
Phone (402) 444-7000

4102 Woolworth Ave
Fl 5
Omaha, NE 68105
Phone (402) 444-7000

Organizations & group practices 2

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1336696368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 DECATUR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044852",
            "telephone_number": "402-305-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051851",
            "telephone_number": "402-444-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "LYDIA",
        "credential": "LMHP, CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.