Individual provider Active NPI

Tina Marie Liljehorn, LMHP LCSW

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1427108646
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3559 Issued in NE
Practice address
1240 N 10TH St Ste 2
Lincoln, NE 68508-1125
Phone
(402) 747-1412
NPI assigned
Jan 11, 2007
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3559 NE Primary
Mental Health Counselor 101YM0800X 8209PLMHP NE
Clinical Social Worker 1041C0700X 6547PLCSW NE

Addresses

Primary practice location

1240 N 10TH St Ste 2
Lincoln, NE 68508-1125

Mailing address

1925 W Apricot LN
Lincoln, NE 68522-4423
Phone (402) 499-8793

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
3559NEMDMental Health Counselor
8209PLMHPNEMDMental Health Counselor
6547PLCSWNEMDClinical Social Worker
1337NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tina Liljehorn, LCSW Clinical CurrentSince Sep 25, 2019 Accepting new patients
Blue Valley Behavioral Health Inc PastSince Jul 6, 2011 Accepting new patients

Locations

1240 N 10th St
Ste 2
Lincoln, NE 68508
Phone (402) 413-1895

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1427108646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W APRICOT LN",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685224423",
            "telephone_number": "402-499-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N 10TH ST STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081125",
            "telephone_number": "402-747-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILJEHORN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "LMHP LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3559",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "8209PLMHP",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "6547PLCSW",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.