Active NPI
Shatawnee Peterson, LMSW, LMHP, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1851058036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4673
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10028192902 | Medicaid | NE | |
| 10029553600 | Medicaid | NE |
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8119 | NE | MD | Mental Health Counselor |
| 14171 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soulutions Therapy, LLC | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.