Organization Active NPI

Lisa Riekenberg

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1679845945
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
292 Issued in NE
Legal business name
LISA RIEKENBERG
Practice address
3534 S 48TH St Ste 3a
Lincoln, NE 68506-6425
Phone
(420) 477-7170
Fax
(402) 477-7173
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Lisa M Riekenberg, LIMHP LPC LADC
Title
Owner
Phone
(420) 477-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 292 NE Primary

Addresses

Primary practice location

3534 S 48TH St Ste 3a
Lincoln, NE 68506-6425

Mailing address

3534 S 48TH St Ste 3a
Lincoln, NE 68506-6425
Phone (420) 477-7170

Other identifiers 1

IdentifierTypeStateIssuer
10025105400MedicaidNE

National Provider Directory

National Provider Directory

Locations

3534 S 48th St
Ste 3A
Lincoln, NE 68506
Phone (420) 477-7170

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1679845945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 S 48TH ST STE 3A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066425",
            "telephone_number": "420-477-7170",
            "fax_number": "402-477-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 S 48TH ST STE 3A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066425",
            "telephone_number": "420-477-7170",
            "fax_number": "402-477-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA RIEKENBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "RIEKENBERG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "420-477-7170",
        "authorized_official_credential": "LIMHP LPC LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "292",
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.