Individual provider Active NPI

Alicia Marie Waltman, LIMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1568776995
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1172 Issued in NE
Practice address
2444 O St
Lincoln, NE 68510-1125
Phone
(402) 475-7666
Fax
(402) 476-9623
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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 1172 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

Other identifiers 1

IdentifierTypeStateIssuer
1528237112OtherNEBCBS

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
I20240705002939 NE Practitioner - Mental Health Counselor 8123562733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1172NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hopespoke CurrentSince Jun 26, 2024 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1568776995",
    "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": "WALTMAN",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1528237112",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.