Lifestream Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFESTREAM THERAPY, LLC

Practice address

3215 W Summit Blvd
Lincoln, NE 68502-5251

Phone

(402) 817-5519

NPI assigned

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Leilani GlaserNPI 1982755609

Title

Owner

Phone

(402) 326-3620

Specialties & licenses 1

Addresses

Other names 1

• LR Counseling, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

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

• Leilani R Glaser, LICSW

  • Clinical Social Worker
  • Lincoln, NE
  • NPI 1982755609
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1255020459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 W SUMMIT BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025251",
            "telephone_number": "402-326-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 W SUMMIT BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025251",
            "telephone_number": "402-817-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "LEILANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-326-3620"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LR Counseling, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Parker Reed Lieske
• Hope Lifaefi
• Life Resources, LLC
• Rodney Life
• Lifespace Communities Inc
• Lifestyles Orthotics and Prosthetics
• Susan Marie Ligenza
• Lighthouse Anesthesia PC
• Melissa A Lile, PLMHP
• Tina Marie Liljehorn, LMHP LCSW

• Clinical Social Worker in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.