Individual provider Active NPI

Mary L Botkin, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1780101667
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10909 Issued in NE
Practice address
17110 Marcy St Ste 110
Omaha, NE 68118-3123
Phone
(708) 408-4158
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10909 NE Primary

Addresses

Primary practice location

17110 Marcy St Ste 110
Omaha, NE 68118-3123

Mailing address

1629 S 154TH St
Omaha, NE 68144-5152
Phone (708) 408-4158

Other names 1

  • Margo Lorimer Former name

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
10909NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Verdure Counseling LLC Mental Health CurrentSince Jul 21, 2024 Accepting new patients

Locations

3610 N 163rd Plz
#205
Omaha, NE 68116

17110 Marcy St
Ste 110
Omaha, NE 68118
Phone (402) 792-4524

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1780101667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 S 154TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445152",
            "telephone_number": "708-408-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 MARCY ST STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183123",
            "telephone_number": "708-408-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTKIN",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "LORIMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 21, 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.