Lynn Ellen Flint Widdifield, LIMHP ATR-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1209 Issued in NE

Practice address

1811 West 2ND St
Suite 310 Tier One Bank BLDG
Grand Island, NE 68803

Phone

(308) 381-0787

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 8, 2024 through Oct 8, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lynn E Flint Widdifield

  • Mental Health Counselor
  • Grand Island, NE
  • NPI 1437217643
  NPD (past) Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1114003308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WEST 2ND ST",
            "address_2": "SUITE 310 TIER ONE BANK BLDG",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "68803",
            "telephone_number": "308-381-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WEST 2ND ST",
            "address_2": "SUITE 310 TIER ONE BANK BLDG",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "68803",
            "telephone_number": "308-381-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT WIDDIFIELD",
        "first_name": "LYNN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LIMHP ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID N",
            "identifier": "205404547",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Patrick Flaherty, M.A. LPC
• Jacob Blaine Fleecs, MD
• Liseidy Fleites Larralde
• Karen Flessner
• Brandon Fletcher
• Christopher Flora-Tostado, PHD, MED
• Ashley Marie Flores, PLMHP
• Jamie Marie Flores
• Yohanna D Flores
• Florez Behavioral Counseling Solutions LLC

• Mental Health Counselor in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.