Healthcare Provider Details

I. General information

NPI: 1538557772
Provider Name (Legal Business Name): MEGAN PENDLEY LIMHP, CMSW, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2014
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 NORTH 75TH STREET
OMAHA NE
68134
US

IV. Provider business mailing address

8998 L ST
OMAHA NE
68127-1486
US

V. Phone/Fax

Practice location:
  • Phone: 402-932-2248
  • Fax: 402-932-3557
Mailing address:
  • Phone: 402-651-5404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number6895
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10108
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: