Demetrius Blair Warren, PLMHP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

13933 Issued in NE

Practice address

5074 Ames Ave
Omaha, NE 68104-2323

Phone

(531) 355-3025

Fax

(531) 355-7150

NPI assigned

May 13, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dymphna Holdings, Inc.

  • Mental Health Counselor
  • La Vista, NE
  • NPI 1306681861
  NPD

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1699566414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5074 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042323",
            "telephone_number": "531-355-3025",
            "fax_number": "531-355-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042323",
            "telephone_number": "531-355-3025",
            "fax_number": "531-355-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12110 Port Grace Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "LA Vista",
            "state": "NE",
            "postal_code": "681283190",
            "country_code": "US",
            "telephone_number": "406-304-6620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "DEMETRIUS",
        "middle_name": "BLAIR",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "13933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Rae Warren, PLMHP
• Avery Ann Warren
• Courtney Lynn Warren, SHARED LIVING PROVID
• Dany Warren
• Debra Jo Warren, APRN
• Hannah Warren
• Jairah Warren
• Laura Ann Warren
• Mitchell Rodney Warren, RN
• Nicholas Warren, APRN-FNP

• Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.