NPIMap

Organization Active NPI

Ambience Counseling Center, LLC

  • Community/Behavioral Health Agency
  • McCook, NE
National Provider Identifier
1174704589
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8338 Issued in NE
Legal business name
AMBIENCE COUNSELING CENTER, LLC
Practice address
203 W E St
MC Cook, NE 69001-3684
Phone
(308) 345-4067
NPI assigned
Nov 14, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Lindsay Lee McConvilleNPI 1265635833
Title
Counselor
Phone
(308) 345-4067

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
Community/Behavioral Health Agency 251S00000X 8338 NE Primary

Addresses

Primary practice location

203 W E St
MC Cook, NE 69001-3684

Mailing address

PO Box 1093
MC Cook, NE 69001-1093
Phone (308) 345-4067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210223002733 NE Part B Supplier - Clinic/Group Practice 1759796840 Receives reassigned benefits from 7 practitioners
Practice locations: Cambridge, NE; Grant, NE; McCook, NE

National Provider Directory

National Provider Directory

Locations

601 Norris Ave
McCook, NE 69001
Phone (308) 345-4067

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1174704589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1093",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690011093",
            "telephone_number": "308-345-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W E ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013684",
            "telephone_number": "308-345-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBIENCE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "MCCONVILLE",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "308-345-4067"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "8338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCook, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.