Active NPI
Lisa Marie Terwilleger, LIMHP, LPC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1649489436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 641
- Practice address
- 2132 S 42ND St
Omaha, NE 68105-2910 - Phone
- (402) 558-1858
- Fax
- (402) 558-8970
- NPI assigned
- May 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 641 | NE | Primary |
Addresses
Primary practice location
2132 S 42ND St
Omaha, NE 68105-2910
Mailing address
7909 L St
Omaha, NE 68127-1725
Phone (402) 934-4977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470648845-26 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 31, 2025 through Jan 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 641 | NE | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Severa | Past | Accepting new patients | |
| James D. Severa | Mental Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1427464825
-
dba Dba Omaha Psychiatric Associates
- Psychiatry Physician
- Council Bluffs, IA
- NPI 1679581110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1649489436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7909 L ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681271725",
"telephone_number": "402-934-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 S 42ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681052910",
"telephone_number": "402-558-1858",
"fax_number": "402-558-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERWILLEGER",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "LIMHP, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470648845-26",
"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 Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.