Individual provider Active NPI

Elizabeth G Tolliver, PHD

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1669120085
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2024 Issued in NE
Practice address
2829 S 118TH St
Omaha, NE 68144-4305
Phone
(304) 216-3440
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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 2024 NE Primary

Addresses

Primary practice location

2829 S 118TH St
Omaha, NE 68144-4305

Mailing address

2829 S 118TH St
Omaha, NE 68144-4305
Phone (304) 216-3440

Other identifiers 1

IdentifierTypeStateIssuer
2024OtherNELIMHP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@liztolliverphd.com Direct

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
I20240715000225 NE Practitioner - Mental Health Counselor 2264977214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13520 Discovery Dr
Suite 114
Omaha, NE 68137-3022
Phone (304) 216-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Counseling Services, LLC Mental Health CurrentSince Apr 28, 2022 Accepting new patients

Locations

13520 Discovery Dr
Ste 114
Omaha, NE 68137
Phone (304) 216-3440

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1669120085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 S 118TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444305",
            "telephone_number": "304-216-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 S 118TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444305",
            "telephone_number": "304-216-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLIVER",
        "first_name": "ELIZABETH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMHP",
            "identifier": "2024",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@liztolliverphd.com",
            "affiliation": "N",
            "endpointDescription": "contact form on professional website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct contact to Administrator",
            "address_1": "2829 S 118th St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681444305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.