Justin Lee Hannemann, LIMHP
Individual provider Active NPI Marriage & Family Therapist · Lincoln, NE
NPI 1003155482 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1003155482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1028 (NE)
- Practice address
- 1510 Q St
Lincoln, NE 68508-1647 - Phone
- (402) 913-4999
- NPI assigned
- Feb 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1028 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracepoint Institute for Relational Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1028 | NE | Yes |
Addresses
Primary practice location
1510 Q St
Lincoln, NE 68508-1647
Mailing address
54 Lincoln St
Seward, NE 68434-1559
Phone (402) 913-4999
Other providers in Lincoln, NE
- Colleen Marie Hanna-Slagle
- Vicky Lynn Hanna
- Hannah Couillard, Ms.Ed., LMHP, CPC
- Molly Lauren Hannasch
- Karen Joy Hanneman
- Mark Thomas Hannemann
- Bridget L Hannon
- Kelsey Elise Hans
- Mason William Hanse
- Christine Hansel
All providers in Lincoln, NE · Marriage & Family Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.