Active NPI
Mercedes Nichole Livengood, LIMHP LMSW
- Mental Health Counselor
- Elkhorn, NE
National Provider Identifier
1790678423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4155
- Practice address
- 3101 N 200TH Ave
Elkhorn, NE 68022-1885 - Phone
- (402) 619-0113
- NPI assigned
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2538 | NE | |
| Mental Health Counselor | 101YM0800X | 4155 | NE | Primary |
Addresses
Primary practice location
3101 N 200TH Ave
Elkhorn, NE 68022-1885
Mailing address
3101 N 200TH Ave
Elkhorn, NE 68022-1885
Phone (402) 619-0113
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 |
|---|---|---|---|
| 4155 | NE | MD | Mental Health Counselor |
| 2538 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1790678423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 N 200TH AVE",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680221885",
"telephone_number": "402-619-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 N 200TH AVE",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680221885",
"telephone_number": "402-619-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVENGOOD",
"first_name": "MERCEDES",
"middle_name": "NICHOLE",
"credential": "LIMHP LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "2538",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.