Individual provider Active NPI

Lisa Riekenberg, LMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1568548352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2689 Issued in NE
Practice address
808 P St
Suite 210F
Lincoln, NE 68508-1361
Phone
(402) 477-7170
Fax
(402) 477-7173
NPI assigned
Oct 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2689 NE Primary

Addresses

Primary practice location

808 P St
Suite 210F
Lincoln, NE 68508-1361

Mailing address

808 P St
Suite 210F
Lincoln, NE 68508-1361
Phone (402) 477-7170

Other identifiers 1

IdentifierTypeStateIssuer
10025105400MedicaidNE

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
I20240412003049 NE Practitioner - Mental Health Counselor 0042659872 Practice locations: Lincoln, NE

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8101 O St
Suite 300
Lincoln, NE 68510-2647
Phone (402) 477-7170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1436NEMDCounselor
2689NEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568548352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 P ST",
            "address_2": "SUITE 210F",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081361",
            "telephone_number": "402-477-7170",
            "fax_number": "402-477-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 P ST",
            "address_2": "SUITE 210F",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081361",
            "telephone_number": "402-477-7170",
            "fax_number": "402-477-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEKENBERG",
        "first_name": "LISA",
        "credential": "LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025105400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.