Individual provider Active NPI

Kimberly C Wittmeier

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1972104743
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12353 Issued in NE
Practice address
13808 U St
Omaha, NE 68137-2904
Phone
(402) 885-6980
NPI assigned
Nov 6, 2020
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12353 NE Primary

Addresses

Primary practice location

13808 U St
Omaha, NE 68137-2904

Mailing address

13808 U St
Omaha, NE 68137-2904
Phone (402) 885-6980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 7, 2025 through Jun 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12353NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Counseling Omaha LLC Mental Health CurrentSince Jan 3, 2021 Accepting new patients
Where's My Mind, LLC Mental Health CurrentSince Aug 7, 2022 Accepting new patients

Locations

13808 U St
Omaha, NE 68137
Phone (402) 885-6980

1410 E Gold Coast Rd
Ste 700
Papillion, NE 68046
Phone (402) 237-6415

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1972104743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13808 U ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372904",
            "telephone_number": "402-885-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13808 U ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372904",
            "telephone_number": "402-885-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMEIER",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.