Individual provider Active NPI

Lise Anne Zlomke, LIMHP, CPC, LPC

  • Mental Health Counselor
  • North Platte, NE
National Provider Identifier
1437217353
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
447 Issued in NE
Practice address
100 East 5TH Street; Suite 203
North Platte, NE 69101-3924
Phone
(308) 532-2335
Fax
(308) 532-4806
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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 447 NE Primary

Addresses

Primary practice location

100 East 5TH Street; Suite 203
North Platte, NE 69101-3924

Mailing address

PO Box 2078
100 East 5TH Street; Suite 203
North Platte, NE 69101-3924
Phone (308) 532-2335

Other identifiers 1

IdentifierTypeStateIssuer
10025317500MedicaidNE

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

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1437217353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "address_2": "100 EAST 5TH STREET; SUITE 203",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691013924",
            "telephone_number": "308-532-2335",
            "fax_number": "308-532-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST 5TH STREET; SUITE 203",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691013924",
            "telephone_number": "308-532-2335",
            "fax_number": "308-532-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLOMKE",
        "first_name": "LISE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LIMHP, CPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025317500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.