MEDICARE: CARALEE HILGERT LMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	8041	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871768689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARALEE HILGERT LMHP

Provider Business Mailing Address
First Line	:	15672 MARCY ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68118-2178
Country	:	US
Telephone Number	:	402-991-0491
Fax Number	:

Provider Business Practice Location Address
First Line	:	3122 U ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-3377
Country	:	US
Telephone Number	:	402-734-7574
Fax Number	:	402-734-1502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	05/22/2012

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