Individual ProviderLisa Marie WitkopCounselorBehavioral Health & Social Service ProvidersPractice Address10845 Harney St, Omaha, NE 68154-2639(402) 916-9421(402) 290-1451PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Marie Witkop does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1033997176Provider TypeIndividualFull NameWitkop, Lisa MarieTitleMrs.CredentialLMHP, LPCGenderFemaleSole ProprietorNoEnumeration Date9/19/2023Last Updated9/19/2023Contact InformationPractice LocationPractice Address10845 Harney St, Omaha, NE 68154-2639Phone(402) 916-9421FaxUnlisted FaxMailing LocationMailing Address2701 Blackhawk Dr, Bellevue, NE 68123-3715Phone(402) 290-1451FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2179NebraskaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1225Nebraska