MRS. ELAINE LEONA BLICKENSTAFF LMHP NPI 1245373174

NPI Information

NPI: 1245373174
Provider Name: MRS. ELAINE LEONA BLICKENSTAFF, LMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4732 S 131ST ST
OMAHA, NE
ZIP 68137
Phone: (402) 697-3923
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MRS. Elaine Leona Blickenstaff, LMHP is a mental health counselor in Omaha, NE. MRS. Elaine Leona Blickenstaff, LMHP NPI is 1245373174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4732 S 131ST ST
OMAHA, NE
ZIP 68137-822
Phone: (402) 697-3923
Fax: (402) 697-3924

The enumeration date for this NPI number is 2/14/2007 and was last updated on 4/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2017LMHP 1401CPC	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	84644	OTHER	NEBRASKA	BLUE CROSS BLUE SHIELD
2	242064	OTHER	NEBRASKA	MIDLANDS CHOICE
3	47082303526	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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