Individual provider Active NPI

Lynn Acquavita Folcik, MS

  • Addiction (Substance Use Disorder) Counselor
  • Hastings, NE
National Provider Identifier
1306026943
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
259 Issued in NE
Practice address
422 N Hastings Ave
Suite 205
Hastings, NE 68901-5169
Phone
(402) 462-9400
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 259 NE Primary
Mental Health Counselor 101YM0800X 1407 NE

Addresses

Primary practice location

422 N Hastings Ave
Suite 205
Hastings, NE 68901-5169

Mailing address

422 N Hastings Ave
Suite 205
Hastings, NE 68901-5169
Phone (402) 462-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
259NEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Transformational Healing LLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1306026943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N HASTINGS AVE",
            "address_2": "SUITE 205",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015169",
            "telephone_number": "402-462-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N HASTINGS AVE",
            "address_2": "SUITE 205",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015169",
            "telephone_number": "402-462-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLCIK",
        "first_name": "LYNN",
        "middle_name": "ACQUAVITA",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "259",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.