Individual provider Active NPI

Shannon Persinger, PLMHP

  • Mental Health Counselor
  • Papillion, NE
National Provider Identifier
1558878090
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12123 Issued in NE
Practice address
945 N Adams St Ste 7
Papillion, NE 68046-3111
Phone
(402) 916-4539
NPI assigned
Jan 5, 2018
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 12123 NE Primary

Addresses

Primary practice location

945 N Adams St Ste 7
Papillion, NE 68046-3111

Mailing address

1120 Port Royal Dr
Papillion, NE 68046-8002
Phone (563) 503-0420

Other practice location 1

2805 S 87th St
Omaha, NE 68124-3040
Phone (563) 503-0420

Other practice location 2

10845 Harney St
Omaha, NE 68154-2639
Phone (402) 916-9421

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
I20251222000359 NE Practitioner - Mental Health Counselor 4385139997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10845 Harney St
Omaha, NE 68154-2637

10845 Harney St
Omaha, NE 68154-2639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12123NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Citycare Counseling, Inc Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Restored Heats Counseling LLC Past Accepting new patients

Locations

10845 Harney St
Omaha, NE 68154
Phone (402) 330-3360

10845 Harney St
Ste 200
Omaha, NE 68154

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1558878090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 PORT ROYAL DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680468002",
            "telephone_number": "563-503-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N ADAMS ST STE 7",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463111",
            "telephone_number": "402-916-4539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 S 87th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681243040",
            "country_code": "US",
            "telephone_number": "563-503-0420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10845 Harney St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681542639",
            "country_code": "US",
            "telephone_number": "402-916-9421",
            "fax_number": "402-999-8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSINGER",
        "first_name": "SHANNON",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.