Individual provider Active NPI

Paige Tuttle, LIMHP, MSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1457851529
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2564 Issued in NE
Practice address
1000 N 90TH St Ste 203
Omaha, NE 68114-2766
Phone
(402) 955-3905
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1905 NE
Mental Health Counselor 101YM0800X 2564 NE Primary

Addresses

Primary practice location

1000 N 90TH St Ste 203
Omaha, NE 68114-2766

Mailing address

1000 N 90TH St Ste 203
Omaha, NE 68114-2766
Phone (402) 955-3905

Other identifiers 1

IdentifierTypeStateIssuer
11411MedicaidNE

Other names 1

  • N/a N/a Professional name

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
I20180612001153 NE Practitioner - Clinical Social Worker 5395090518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Owl Counseling Services, LLC CurrentSince Aug 3, 2025 Accepting new patients
Unmc Physicians CurrentSince Jul 14, 2022 Accepting new patients
Lutheran Family Services of NE, Inc Mental Health PastSince Jan 1, 2024 Accepting new patients

Locations

256 N 115th St
Ste 5
Omaha, NE 68154
Phone (402) 255-6137

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1457851529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N 90TH ST STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142766",
            "telephone_number": "402-955-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 90TH ST STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142766",
            "telephone_number": "402-955-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "PAIGE",
        "credential": "LIMHP, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1905",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11411",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "LIMHP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.