Carol Countryman N., PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CAROL COUNTRYMAN N., PC

Practice address

2231 N 57TH St
Lincoln, NE 68505-1110

Phone

(402) 429-5365

NPI assigned

Apr 23, 2010

Last updated

Sep 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Countryman Nunnally, LCSW, LIMHPNPI 1093876872

Title

Owner

Phone

(402) 429-5365

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Carol Countryman Nunnally, LCSW LIMHP

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1093876872
  Authorized official Same address or phone

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1134446669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 N 57TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051110",
            "telephone_number": "402-429-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 N 57TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051110",
            "telephone_number": "402-429-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL COUNTRYMAN N., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "NUNNALLY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "COUNTRYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-429-5365",
        "authorized_official_credential": "LCSW, LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025851300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Carnahan
• Madison Carney
• Saundra C Carney
• Briana T Carnicle, PA-C
• Amy Louise Carnie
• Carolyn S. Cody, M.D., P.C.
• Jillian Re'Nee Caroon
• Sarah Joan Carothers
• Colleen K Carpenter, APRN
• Jacob Carpenter

• Clinical Social Worker in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.