Provider Demographics
NPI:1578001251
Name:LOTUS COUNSELING LLC
Entity type:Organization
Organization Name:LOTUS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENEE'
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LMHP, LADC
Authorized Official - Phone:402-382-0155
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:AINSWORTH
Mailing Address - State:NE
Mailing Address - Zip Code:69210-0094
Mailing Address - Country:US
Mailing Address - Phone:402-382-0155
Mailing Address - Fax:
Practice Address - Street 1:356 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:AINSWORTH
Practice Address - State:NE
Practice Address - Zip Code:69210-2031
Practice Address - Country:US
Practice Address - Phone:402-382-0155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026652800Medicaid