Individual provider Active NPI

Delicia Charlisse McGhee, PLMHP, PCMSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1972137362
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12125 Issued in NE
Practice address
11949 Q St
Omaha, NE 68137-3503
Phone
(402) 595-1326
Fax
(402) 595-1329
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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 7453 NE
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 12125 NE Primary

Addresses

Primary practice location

11949 Q St
Omaha, NE 68137-3503

Mailing address

11949 Q St
Omaha, NE 68137-3503
Phone (402) 595-1326

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
I20241022002281 NE Practitioner - Mental Health Counselor 2668904194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12125NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Healing Mind Body & Soul Single Specialty CurrentSince Jan 1, 2020 Accepting new patients

Locations

1941 S 42nd St
Ste 402D
Omaha, NE 68105
Phone (402) 595-1326

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1972137362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11949 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373503",
            "telephone_number": "402-595-1326",
            "fax_number": "402-595-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373503",
            "telephone_number": "402-595-1326",
            "fax_number": "402-595-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "DELICIA",
        "middle_name": "CHARLISSE",
        "name_prefix": "Mrs.",
        "credential": "PLMHP, PCMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7453",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.