Individual provider Active NPI

Lisa Jo Peter, PLMHP, PCMSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1932793098
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13351 Issued in NE
Practice address
8715 Oak St
Omaha, NE 68124-3051
Phone
(402) 333-0898
Fax
(402) 333-0988
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11443 NE
Social Worker 104100000X 7238 NE
Social Worker 104100000X 7842 NE
Mental Health Counselor 101YM0800X 13351 NE Primary

Addresses

Primary practice location

8715 Oak St
Omaha, NE 68124-3051

Mailing address

5115 F St
Omaha, NE 68117-2807

Other practice location 1

5115 F St
Omaha, NE 68117-2807
Phone (402) 397-9866

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
11443NEMDMental Health Counselor
13351NEMDMental Health Counselor
7842NEMDSocial Worker
7238NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Behavioral Health PastSince Sep 24, 2023 Accepting new patients
Blankenship Counseling Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1932793098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681172807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 OAK ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243051",
            "telephone_number": "402-333-0898",
            "fax_number": "402-333-0988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 F St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681172807",
            "country_code": "US",
            "telephone_number": "402-397-9866",
            "fax_number": "402-397-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETER",
        "first_name": "LISA",
        "middle_name": "JO",
        "credential": "PLMHP, PCMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11443",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "7238",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "7842",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13351",
            "primary": true
        }
    ],
    "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 22, 2023; 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.