Individual provider Active NPI

Michelle Dianne Wadum Lechner, LMHP PLA DC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
National Provider Identifier
1467591867
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
672 Issued in NE
Practice address
2551 Dodge St
Omaha, NE 68131-2642
Phone
(402) 342-4135
Fax
(402) 341-7099
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 672 NE Primary
Professional Counselor 101YP2500X 1217 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X P508 NE
Mental Health Counselor 101YM0800X 2154 NE

Addresses

Primary practice location

2551 Dodge St
Omaha, NE 68131-2642

Mailing address

2551 Dodge St
Omaha, NE 68131-2642
Phone (402) 342-4135

Other identifiers 2

IdentifierTypeStateIssuer
47037661200MedicaidNE
85129OtherNEBCBS

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
I20240119001735 NE Practitioner - Mental Health Counselor 8820440357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas County NebraskaGroup PAC ID 3375440936, 12 clinicians

Practice addresses (Care Compare)

4102 Woolworth Ave
Omaha, NE 68105-1899
Phone (402) 444-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P508NEMDAddiction (Substance Use Disorder) Counselor
2154NEMDClinical Social Worker

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

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1467591867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312642",
            "telephone_number": "402-342-4135",
            "fax_number": "402-341-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312642",
            "telephone_number": "402-342-4135",
            "fax_number": "402-341-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADUM LECHNER",
        "first_name": "MICHELLE",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "LMHP PLA DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "672",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1217",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P508",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037661200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85129",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.