NPIMap

Organization Active NPI

Lifespan Counseling Omaha, LLC

  • Adult Mental Health Clinic/Center
  • Omaha, NE
National Provider Identifier
1487312559
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIFESPAN COUNSELING OMAHA, LLC
Practice address
8601 W Dodge Rd Ste 106
Omaha, NE 68114-3430
Phone
(402) 575-5577
NPI assigned
Dec 6, 2021
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Myisha Parsha, LIMHPNPI 1568829661
Title
Co-Owner
Phone
(531) 444-1963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Multi-Specialty Clinic/Center 261QM1300X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

8601 W Dodge Rd Ste 106
Omaha, NE 68114-3430

Mailing address

15705 W Dodge Road
102
Omaha, NE 68118-2536
Phone (402) 575-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221130001516 NE Part B Supplier - Clinic/Group Practice 3173991825 Receives reassigned benefits from 7 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

15705 W Dodge Rd
#102
Omaha, NE 68118
Phone (402) 478-8229

15705 W Dodge Rd
Ste 102
Omaha, NE 68118
Phone (402) 575-5577

8601 W Dodge Rd
Ste 106
Omaha, NE 68114
Phone (402) 575-5577

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1487312559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15705 W DODGE ROAD",
            "address_2": "102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182536",
            "telephone_number": "402-575-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 W DODGE RD STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143430",
            "telephone_number": "402-575-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN COUNSELING OMAHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "PARSHA",
        "authorized_official_first_name": "MYISHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "531-444-1963",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.