NPIMap

Organization Active NPI

Developmental Services of Nebraska, Inc.

Doing business as Affinity Community Counseling

  • Developmentally Disabled Services Day Training Agency
  • Lincoln, NE
National Provider Identifier
1043400807
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
DEVELOPMENTAL SERVICES OF NEBRASKA, INC.
Doing business as
Affinity Community Counseling
Practice address
2610 W M CT
Lincoln, NE 68522-1006
Phone
(402) 325-8555
Fax
(402) 325-8575
NPI assigned
Jul 27, 2007
Last updated
Mar 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Roger L Stortenbecker
Title
Chief Development Officer
Phone
(402) 435-2134

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2610 W M CT
Lincoln, NE 68522-1006

Mailing address

5701 Thompson Creek Blvd
Suite 200
Lincoln, NE 68516-5686
Phone (402) 435-2800

Other identifiers 2

IdentifierTypeStateIssuer
100251801-00MedicaidNE
100251107-00MedicaidNE

Other names 1

  • Affinity Community Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

2610 W M Ct
Lincoln, NE 68522
Phone (402) 875-2555

5701 Thompson Creek Blvd
Ste 200
Lincoln, NE 68516
Phone 4023258555 ext. 2102

10437 J St
Omaha, NE 68127
Phone 40282776524004

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 156

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 156

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1043400807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 THOMPSON CREEK BLVD",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165686",
            "telephone_number": "402-435-2800",
            "fax_number": "402-435-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W M CT",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221006",
            "telephone_number": "402-325-8555",
            "fax_number": "402-325-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL SERVICES OF NEBRASKA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "STORTENBECKER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "402-435-2134",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251801-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251107-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Community Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.