Individual provider Active NPI

Laurie St. Patrick

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1346994563
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3492 Issued in NE
Practice address
11717 Burt St Ste 101
Omaha, NE 68154-1500
Phone
(402) 659-0943
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 P1929 NE
Professional Counselor 101YP2500X 3492 NE
Mental Health Counselor 101YM0800X 3492 NE Primary

Addresses

Primary practice location

11717 Burt St Ste 101
Omaha, NE 68154-1500

Mailing address

18728 W St
Omaha, NE 68135-4168
Phone (402) 659-0943

Other identifiers 1

IdentifierTypeStateIssuer
3492OtherNELICENSE (LIMHP)

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL westocounseling@gmail.com Direct

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

LicenseStateTypeSpecialty
P1929NEMDAddiction (Substance Use Disorder) Counselor
3492NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West O Counseling Mental Health CurrentSince Jul 3, 2022 Accepting new patients

Locations

11717 Burt St
Ste 101
Omaha, NE 68154
Phone (402) 218-1471

Organizations & group practices 1

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1346994563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18728 W ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681354168",
            "telephone_number": "402-659-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 BURT ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541500",
            "telephone_number": "402-659-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. PATRICK",
        "first_name": "LAURIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P1929",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "3492",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE (LIMHP)",
            "identifier": "3492",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "westocounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11717 Burt St Ste 101",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681541500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 1, 2024; 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.