Individual provider Active NPI

Maretha L Baltimore, PLMHP, PLADC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
National Provider Identifier
1811046105
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
P-367 Issued in NE
Practice address
1941 S 42ND St
Ste 430
Omaha, NE 68105-2939
Phone
(402) 342-6197
Fax
(402) 342-6199
NPI assigned
Jan 9, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-367 NE Primary
Mental Health Counselor 101YM0800X 7241 NE

Addresses

Primary practice location

1941 S 42ND St
Ste 430
Omaha, NE 68105-2939

Mailing address

1463 Lothrop St
Omaha, NE 68110-1922
Phone (402) 708-0204

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
P-367NEMDAddiction (Substance Use Disorder) Counselor
7241NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whites Counseling and Consulting Agency Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811046105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 LOTHROP ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681101922",
            "telephone_number": "402-708-0204",
            "fax_number": "402-342-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST",
            "address_2": "STE 430",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052939",
            "telephone_number": "402-342-6197",
            "fax_number": "402-342-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTIMORE",
        "first_name": "MARETHA",
        "middle_name": "L",
        "credential": "PLMHP, PLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-367",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7241",
            "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 Sep 11, 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.