Active NPI
Sheila R Black, MS. LMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1740340595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- NE 2750
- Practice address
- 3040 Lake St
118
Omaha, NE 68111-3700 - Phone
- (402) 612-4520
- Fax
- (402) 614-2970
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NE 2750 | NE | Primary |
Addresses
Primary practice location
3040 Lake St
118
Omaha, NE 68111-3700
Mailing address
Life Options Counseling 30 40 Lake Street
Ste 118
Omaha, NE 68111
Phone (402) 612-4520
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
| License | State | Type | Specialty |
|---|---|---|---|
| NE 2750 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740340595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LIFE OPTIONS COUNSELING 30 40 LAKE STREET",
"address_2": "STE 118",
"city": "OMAHA",
"state": "NE",
"postal_code": "68111",
"telephone_number": "402-612-4520",
"fax_number": "402-614-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 LAKE ST",
"address_2": "118",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113700",
"telephone_number": "402-612-4520",
"fax_number": "402-614-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "SHEILA",
"middle_name": "R",
"credential": "MS. LMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "NE 2750",
"primary": true
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.