Active NPI
Lacey Taylor, PLMHP, PMSW
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1508370321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11336
- Practice address
- 10846 Old Mill Rd Ste 5
Omaha, NE 68154-2655 - Phone
- (402) 871-1002
- NPI assigned
- Dec 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7202 | NE | |
| Mental Health Counselor | 101YM0800X | 11336 | NE | Primary |
Addresses
Primary practice location
10846 Old Mill Rd Ste 5
Omaha, NE 68154-2655
Mailing address
408 N Main St
Hooper, NE 68031-3022
Phone (402) 278-0264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11336 | Other | NE | NOT AN INSURANCE PROVIDER AT THIS TIME |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11336 | NE | MD | Mental Health Counselor |
| 7202 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1508370321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N MAIN ST",
"city": "HOOPER",
"state": "NE",
"postal_code": "680313022",
"telephone_number": "402-278-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10846 OLD MILL RD STE 5",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542655",
"telephone_number": "402-871-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LACEY",
"credential": "PLMHP, PMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "7202",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "11336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT AN INSURANCE PROVIDER AT THIS TIME",
"identifier": "11336",
"state": "NE"
}
],
"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 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.