NPIMap

Organization Active NPI

Center for Christian Counseling, PC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1164794632
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
799 Issued in NE
Legal business name
CENTER FOR CHRISTIAN COUNSELING, PC
Practice address
4535 Normal Blvd Ste 272
Lincoln, NE 68506-2890
Phone
(402) 434-0949
Fax
(402) 488-8525
NPI assigned
Jan 31, 2012
Last updated
Jan 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Dr. Susan Beam Cooper, PH.D., LIMHPNPI 1205994845
Title
President
Phone
(402) 434-0949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 799 NE Primary

Addresses

Primary practice location

4535 Normal Blvd Ste 272
Lincoln, NE 68506-2890

Mailing address

4535 Normal Blvd Ste 272
Lincoln, NE 68506-2890
Phone (402) 434-0949

Other identifiers 1

IdentifierTypeStateIssuer
100252335-00MedicaidNE

National Provider Directory

National Provider Directory

Locations

4535 Normal Blvd
Ste 272
Lincoln, NE 68506
Phone (402) 434-0949

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1164794632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 NORMAL BLVD STE 272",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062890",
            "telephone_number": "402-434-0949",
            "fax_number": "402-488-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 NORMAL BLVD STE 272",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062890",
            "telephone_number": "402-434-0949",
            "fax_number": "402-488-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHRISTIAN COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BEAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-434-0949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252335-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 31, 2012; 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.