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Export Provider Record NPI 1053969360
Misty D WarrenLIMHP
Active
NPI Number1053969360
NPI TypeNPI-1 Individual
SpecialtyCounselor, Mental Health
Provider Details
NPI1053969360
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2019-08-29
Last Updated2026-02-03
Mailing Address4520 S 221st St
Elkhorn, NE 68022-3342
United States
Phone: (402) 670-8850
📍 View Map
Primary Practice Address4520 S 221st St
Elkhorn, NE 68022-3342
United States
Phone: (402) 670-8850
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No101YM0800X – Counselor, Mental HealthIA100111
No101YM0800X – Counselor, Mental HealthNE11977
Yes101YM0800X – Counselor, Mental HealthNE2607
No101Y00000X – CounselorNE2607
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About NPI 1053969360

Misty D Warren LIMHP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053969360. The primary specialty listed is Counselor, Mental Health. The provider is located in Elkhorn, NE. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-08-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053969360?

NPI 1053969360 belongs to Misty D Warren LIMHP, a Counselor, Mental Health in Elkhorn, NE. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053969360 active?

The current status of NPI 1053969360 in the NPPES registry is Active. The record was last updated on 2026-02-03.

What specialty is NPI 1053969360?

NPI 1053969360 is classified under the taxonomy Counselor, Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053969360?

You can verify NPI 1053969360 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053969360?

The primary practice address on file for NPI 1053969360 is 4520 S 221st St, Elkhorn, NE 68022-3342. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053969360 issued?

NPI 1053969360 was first issued (enumerated) on 2019-08-29. The NPPES record was last updated on 2026-02-03.

Practice Location Map

Misty D Warren is located at 4520 S 221st St, Elkhorn, NE. Use the map below to find directions or verify the practice location.

📍 4520 S 221st St, Elkhorn, NE 68022-3342  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Misty D Warren. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053969360. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Counselor, Mental Health100111IA
Counselor, Mental Health11977NE
Counselor, Mental Health2607NE
Counselor2607NE
Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162