Individual provider Active NPI

Clifford James Ortlieb, M.A. LMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1548545304
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4456 Issued in NE
Practice address
2444 O St
Lincoln, NE 68510-1125
Phone
(402) 475-7666
Fax
(402) 476-9623
NPI assigned
Oct 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 4456 NE Primary

Addresses

Primary practice location

2444 O St
Lincoln, NE 68510-1125

Mailing address

2444 O St
Lincoln, NE 68510-1125
Phone (402) 475-7666

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Hopespoke Past Accepting new patients
Hopespoke Past Accepting new patients

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": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1548545304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101125",
            "telephone_number": "402-475-7666",
            "fax_number": "402-476-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101125",
            "telephone_number": "402-475-7666",
            "fax_number": "402-476-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTLIEB",
        "first_name": "CLIFFORD",
        "middle_name": "JAMES",
        "credential": "M.A. LMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.