Individual provider Active NPI

Teresa Lynn Mallett, MS, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1871514539
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
194 Issued in NE
Practice address
13504 Stevens St
Suite a
Omaha, NE 68137-1634
Phone
(402) 894-9805
Fax
(402) 894-1015
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 194 NE Primary
Professional Counselor 101YP2500X 84 NE

Addresses

Primary practice location

13504 Stevens St
Suite a
Omaha, NE 68137-1634

Mailing address

13504 Stevens St
Suite a
Omaha, NE 68137-1634
Phone (402) 894-9805

Other identifiers 1

IdentifierTypeStateIssuer
10025687200MedicaidNE

Other names 1

  • Resa Lynn Mallett Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 25, 2025 through Feb 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
194NEMDAthletic Trainer
208NEMDAudiologist
84NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mallett Counseling, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1871514539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13504 STEVENS ST",
            "address_2": "SUITE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371634",
            "telephone_number": "402-894-9805",
            "fax_number": "402-894-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13504 STEVENS ST",
            "address_2": "SUITE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371634",
            "telephone_number": "402-894-9805",
            "fax_number": "402-894-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "MS, LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "194",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "84",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025687200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RESA",
            "last_name": "MALLETT",
            "middle_name": "LYNN",
            "credential": "MS, LIMHP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.