Organization Active NPI

Brainwavebalance of Lincoln

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, NE
National Provider Identifier
1225379936
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1470 Issued in NE
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

Updated by the provider on Mar 5, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.