Individual provider Active NPI

Tiffanie Ann Thompson, LCSW, LMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1790799336
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10845 Harney St
Omaha, NE 68154-2639
Phone
(402) 916-9421
Fax
(402) 999-8221
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1246 NE
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

10845 Harney St
Omaha, NE 68154-2639

Mailing address

1603 S 175TH Ave
Omaha, NE 68130-2820
Phone (402) 917-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116000940 NE Practitioner - Mental Health Counselor 1759868128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10845 Harney St
Omaha, NE 68154-2637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1246NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Citycare Counseling, Inc Mental Health CurrentSince Dec 1, 2025 Accepting new patients

Locations

10845 Harney St
Ste 200
Omaha, NE 68154

10845 Harney St
Omaha, NE 68154
Phone (402) 330-3360

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1790799336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 S 175TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302820",
            "telephone_number": "402-917-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 HARNEY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542639",
            "telephone_number": "402-916-9421",
            "fax_number": "402-999-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TIFFANIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW, LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1246",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.