Kathryn Diane Holmberg, LCSW, LIMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6454 Issued in NE

Practice address

3901 Faulkner Dr
Lincoln, NE 68516-4738

Phone

(402) 875-9270

Fax

(402) 875-9272

NPI assigned

Feb 7, 2007

Last updated

Jan 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1689714925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 FAULKNER DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164738",
            "telephone_number": "402-875-9270",
            "fax_number": "402-875-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 FAULKNER DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164738",
            "telephone_number": "402-875-9270",
            "fax_number": "402-875-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "KATHRYN",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7773",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "6454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "7389",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96118",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollist Treatment for Adolescents and Families
• Cynthia G Hollister, MSW LMHP
• Michelina Hollister, LIMHP
• Arianne Lynden Hollman, PA-C
• Brandi Holloway
• Morgan Holmen
• Rachel Marie Holmer
• Holmes Lake Family Health Centre, P.C.
• Holmes Lake Operations LLC
• Leketha Anthanet Holmes-Lott

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.