Andorf-Blum LTD

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

8 Issued in NE

Legal business name

ANDORF-BLUM LTD

Practice address

4444 South 86TH St.
Suite 102
Lincoln, NE 68526-9253

Phone

(402) 476-7557

Fax

(402) 476-9912

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Becky Haumont

Title

Office Manager

Phone

(402) 476-7557

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy L. Andorf-Blum, LCSW LIMHP

  • Clinical Social Worker
  • Lincoln, NE
  • NPI 1629084355
  Medicare reassignment

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1235549726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 SOUTH 86TH ST.",
            "address_2": "SUITE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269253",
            "telephone_number": "402-476-7557",
            "fax_number": "402-476-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 SOUTH 86TH ST.",
            "address_2": "SUITE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269253",
            "telephone_number": "402-476-7557",
            "fax_number": "402-476-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDORF-BLUM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "HAUMONT",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-476-7557"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NE",
            "license": "8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11590132",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025262900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Anderson, PLMHP, PCMSW
• Tonya Anderson
• Tychicus Anderson
• Wendi Kay Anderson, MASTER OF SCIENCE MS
• Jenna Andindi
• Wendy L. Andorf-Blum, LCSW LIMHP
• Emma Andrea
• Ellie Andreasen, PA-C
• Karen Kelly Andreasen
• Lauren Sara Andres

• Adult Mental Health Clinic/Center in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Adult Mental Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.