Active NPI
Brainwavebalance of Lincoln
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincoln, NE
National Provider Identifier
1225379936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 1470
- Legal business name
- BRAINWAVEBALANCE OF LINCOLN
- Practice address
- 5930 S 58TH St Ste O
Lincoln, NE 68516-3653 - Phone
- (402) 904-4738
- NPI assigned
- Mar 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Crippen, LMHP
- Title
- LMHP
- Phone
- (402) 657-0312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 1470 | NE | Primary |
Addresses
Primary practice location
5930 S 58TH St Ste O
Lincoln, NE 68516-3653
Mailing address
5930 S 58TH St Ste O
Lincoln, NE 68516-3653
Phone (402) 904-4738
National Provider Directory
National Provider DirectoryLocations
5930 S 58th St
Ste O
Lincoln, NE 68516
Phone (402) 327-1177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362441600000",
"number": "1225379936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5930 S 58TH ST STE O",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163653",
"telephone_number": "402-904-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5930 S 58TH ST STE O",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163653",
"telephone_number": "402-904-4738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAINWAVEBALANCE OF LINCOLN",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-05",
"last_updated": "2013-03-05",
"status": "A",
"authorized_official_last_name": "CRIPPEN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "LMHP",
"authorized_official_telephone_number": "402-657-0312",
"authorized_official_credential": "LMHP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NE",
"license": "1470",
"primary": true
}
],
"identifiers": [],
"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 Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.