Individual provider Active NPI

Daejanira Lyncook, PLMHP

  • Mental Health Counselor
  • Elkhorn, NE
National Provider Identifier
1356701650
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10623 Issued in NE
Practice address
20275 Honeysuckle Dr
Ste 103
Elkhorn, NE 68022-3962
Phone
(402) 933-5700
Fax
(402) 933-9998
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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 10623 NE Primary

Addresses

Primary practice location

20275 Honeysuckle Dr
Ste 103
Elkhorn, NE 68022-3962

Mailing address

20275 Honeysuckle Dr
Ste 103
Elkhorn, NE 68022-3962
Phone (402) 933-5700

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

State licenses

LicenseStateTypeSpecialty
10623NEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1356701650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20275 HONEYSUCKLE DR",
            "address_2": "STE 103",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223962",
            "telephone_number": "402-933-5700",
            "fax_number": "402-933-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20275 HONEYSUCKLE DR",
            "address_2": "STE 103",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223962",
            "telephone_number": "402-933-5700",
            "fax_number": "402-933-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCOOK",
        "first_name": "DAEJANIRA",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.