Individual provider Active NPI

Meredith Ann Wipf, LMHP, LCMSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1720561012
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5711 Issued in NE
Practice address
11605 Miracle Hills Dr Ste 300
Omaha, NE 68154-4467
Phone
(402) 238-1431
Fax
(402) 281-1862
NPI assigned
Sep 12, 2018
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5711 NE Primary
Clinical Social Worker 1041C0700X 2068 NE
School Social Worker 1041S0200X 11226 NE
School Social Worker 1041S0200X 7169 NE

Addresses

Primary practice location

11605 Miracle Hills Dr Ste 300
Omaha, NE 68154-4467

Mailing address

5619 S 19TH St
Omaha, NE 68107-3601
Phone (531) 299-8862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7169NEMDSchool Social Worker
5711NEMDGeneral Practice Dentistry
11226NEMDPharmacist
2068NEMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1720561012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 S 19TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681073601",
            "telephone_number": "531-299-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 MIRACLE HILLS DR STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544467",
            "telephone_number": "402-238-1431",
            "fax_number": "402-281-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIPF",
        "first_name": "MEREDITH",
        "middle_name": "ANN",
        "credential": "LMHP, LCMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5711",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2068",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NE",
            "license": "11226",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NE",
            "license": "7169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.