Huong X Mack, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

111737 Issued in NE

Practice address

1600 S 70TH St Ste 200
Lincoln, NE 68506-1568

Phone

(402) 476-7557

NPI assigned

Oct 31, 2014

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Huong X Le Former name

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Wellspring Behavior Health LLC

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1144876459
  Medicare reassignment NPD
• Alivation Health, LLC

  • Psychiatry Physician
  • Lincoln, NE
  • NPI 1710917448
  Medicare reassignment
• Value Based Long Term Care B PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1194498808
  NPD
• Blue Valley Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Beatrice, NE
  • NPI 1316019508
  NPD (past)
• Vest Psychiatric Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, NE
  • NPI 1386885192
  NPD (past)

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1174928287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S 70TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061568",
            "telephone_number": "402-937-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 70TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061568",
            "telephone_number": "402-476-7557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2444 O St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685101125",
            "country_code": "US",
            "telephone_number": "402-475-7666",
            "fax_number": "402-476-9623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "HUONG",
        "middle_name": "X",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111737",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075636998",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025734000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075636930",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026038300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUONG",
            "last_name": "LE",
            "middle_name": "X",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicolette Lee Machado, LCSW
• Sandra Gordin Alberto Machado, MD
• Johann Ruth Machmer, B.S.
• Bobbi Sue Ann Mack-Drake
• Alexis Mack
• Troy J Mack
• Alexandra Elizabeth Mackay, M.A.
• Cristina Macke, PT, DPT, CLT
• Eric Jacob Macke
• Carol Macklin

• Psychiatric/Mental Health Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.