Individual provider Active NPI

Elizabeth Anne Weber, LMHP, CPC, LADC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1962032904
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5439 Issued in NE
Practice address
120 Wedgewood Dr
Lincoln, NE 68510-2431
Phone
(402) 441-3768
NPI assigned
Jan 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2567 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X 1296 NE
Mental Health Counselor 101YM0800X 5439 NE Primary

Addresses

Primary practice location

120 Wedgewood Dr
Lincoln, NE 68510-2431

Mailing address

8125 Hickory LN
Lincoln, NE 68510-4461
Phone (402) 304-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240504000043 NE Practitioner - Mental Health Counselor 6406296656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5439NEMDMental Health Counselor
1296NEMDOptometrist
2567NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Light My Life Counseling, LLC Addiction (Substance Use Disorder) CurrentSince Mar 26, 2024 Accepting new patients
St. Monica'S PastSince Jan 19, 2020 Accepting new patients
St. Monica'S PastSince Jan 19, 2020 Accepting new patients

Locations

5221 S 48th St
Ste 7B
Lincoln, NE 68516
Phone (402) 304-6642

Organizations & group practices 3

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": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1962032904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 HICKORY LN",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104461",
            "telephone_number": "402-304-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEDGEWOOD DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102431",
            "telephone_number": "402-441-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "LMHP, CPC,  LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2567",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1296",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.