Provider Demographics
NPI:1871768689
Name:HILGERT, CARALEE (LMHP)
Entity type:Individual
Prefix:
First Name:CARALEE
Middle Name:
Last Name:HILGERT
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15672 MARCY ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-2178
Mailing Address - Country:US
Mailing Address - Phone:402-991-0491
Mailing Address - Fax:
Practice Address - Street 1:3122 U ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-3377
Practice Address - Country:US
Practice Address - Phone:402-734-7574
Practice Address - Fax:402-734-1502
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8041101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47082303526Medicaid
NE47082303526Medicaid