Individual provider Active NPI

Kathryn McKay Thompson, LCSW, QMHP, LIMHP

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1649811076
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2073 Issued in NE
Practice address
5814 S 142ND St Ste B
Omaha, NE 68137-2855
Phone
(402) 881-0059
Fax
(531) 201-0204
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2817 NE
Clinical Social Worker 1041C0700X 2073 NE Primary

Addresses

Primary practice location

5814 S 142ND St Ste B
Omaha, NE 68137-2855

Mailing address

11517 S 191St Ave
Gretna, NE 68028-3586
Phone (605) 366-9800

Other practice location 1

1004 Farnam St Ste 204
Omaha, NE 68102-1885
Phone (402) 881-0059

Other identifiers 1

IdentifierTypeStateIssuer
10028008400MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210407002558 SD Practitioner - Clinical Social Worker 5496162547 Reassigns benefits to 1 organization
I20211022000600 NE Practitioner - Clinical Social Worker 5496162547 Reassigns benefits to 1 organization
Practice locations: Omaha, NE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5814 S 142ND St
Suite B
Omaha, NE 68137-2855
Phone (402) 881-0059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Selah Therapy Services LLC Mental Health CurrentSince Aug 24, 2025 Accepting new patients
Southeastern Behavioral Healthcare CurrentSince Jan 19, 2021 Accepting new patients
Southeastern Behavioral Healthcare PastSince Oct 1, 2019 Accepting new patients
Third Force Psychotherapy PastSince Jun 1, 2023 Accepting new patients

Locations

5814 S 142nd St
Ste B
Omaha, NE 68137
Phone (402) 881-0059

2000 S Summit Ave
Sioux Falls, SD 57105
Phone (605) 336-0503

Organizations & group practices 4

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1649811076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11517 S 191ST AVE",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680283586",
            "telephone_number": "605-366-9800",
            "fax_number": "531-201-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 S 142ND ST STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372855",
            "telephone_number": "402-881-0059",
            "fax_number": "531-201-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Farnam St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681021885",
            "country_code": "US",
            "telephone_number": "402-881-0059",
            "fax_number": "531-248-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATHRYN",
        "middle_name": "MCKAY",
        "credential": "LCSW, QMHP, LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2817",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028008400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.