Individual provider Active NPI

Shatawnee Peterson, LMSW, LMHP, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1851058036
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4673 Issued in NE
Practice address
8333 Cass St
Omaha, NE 68114-3529
Phone
(402) 940-7387
Fax
(402) 702-0538
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8119 NE
Mental Health Counselor 101YM0800X 6518 NE
Social Worker 104100000X 2722 NE
Mental Health Counselor 101YM0800X 14171 NE
Mental Health Counselor 101YM0800X 4673 NE Primary

Addresses

Primary practice location

8333 Cass St
Omaha, NE 68114-3529

Mailing address

8333 Cass St
Omaha, NE 68114-3529
Phone (402) 940-7387

Other identifiers 2

IdentifierTypeStateIssuer
10028192902MedicaidNE
10029553600MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Nebraska College of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27012 Pioneer TRL
Silver City, IA 51571-4069

8333 Cass St
Omaha, NE 68114-3529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8119NEMDMental Health Counselor
14171NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soulutions Therapy, LLC Mental Health CurrentSince Jul 31, 2026 Accepting new patients

Locations

207 Galvin Rd N
Bellevue, NE 68005
Phone (402) 807-5117

8333 Cass St
Omaha, NE 68114
Phone (402) 940-7387

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1851058036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143529",
            "telephone_number": "402-940-7387",
            "fax_number": "402-702-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143529",
            "telephone_number": "402-940-7387",
            "fax_number": "402-702-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SHATAWNEE",
        "name_prefix": "Ms.",
        "credential": "LMSW, LMHP, LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "8119",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "6518",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "2722",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "14171",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028192902",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029553600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.