Individual provider Active NPI

Lois Relys, LIMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1285882993
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1194 Issued in NE
Practice address
3901 Pine Lake Rd Ste 410
Lincoln, NE 68516
Phone
(402) 434-2730
Fax
(402) 434-3970
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1194 NE Primary

Addresses

Primary practice location

3901 Pine Lake Rd Ste 410
Lincoln, NE 68516

Mailing address

300 S 68TH Street PL
Suite 500
Lincoln, NE 68510-2475
Phone (402) 434-2730

Other practice location 1

9100 Andermatt Drive Suite 1
Lincoln, NE 68526-0000
Phone (402) 434-2730

Other identifiers 1

IdentifierTypeStateIssuer
10026721201MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221002856 NE Practitioner - Mental Health Counselor 6608210307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pine Lake Behavioral Health LLCGroup PAC ID 7810250164, 19 clinicians

Practice addresses (Care Compare)

9100 Andermatt Dr
Suite 1
Lincoln, NE 68526-6700
Phone 40243427302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Lake Behavioral Health, LLC. CurrentSince Feb 15, 2024 Accepting new patients
First Step Recovery Center Inc. Mental Health PastSince Oct 1, 1999 Accepting new patients

Locations

3901 Pine Lake Rd
Ste 410
Lincoln, NE 68516
Phone (402) 434-2730

9100 Andermatt Dr
Ste 1
Lincoln, NE 68526
Phone (402) 227-8157

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1285882993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 68TH STREET PL",
            "address_2": "SUITE 500",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102475",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD STE 410",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 Andermatt Drive Suite 1",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685260000",
            "country_code": "US",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RELYS",
        "first_name": "LOIS",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026721201",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.