Shane Crockett

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

834 Issued in NE

Legal business name

SHANE CROCKETT

Practice address

8101 'O' Street
Suite 214
Lincoln, NE 68510-2647

Phone

(402) 488-1032

Fax

(402) 484-8545

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Shane Maynard Crockett, LIMHP,LMHP

Title

Psychotherapist

Phone

(402) 488-1032

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Shane Crockett2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shane Crockett

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1518239797
  NPD tax ID

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1396018198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 'O' STREET",
            "address_2": "SUITE 214",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102647",
            "telephone_number": "402-488-1032",
            "fax_number": "402-484-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 'O' STREET",
            "address_2": "SUITE 214",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102647",
            "telephone_number": "402-488-1032",
            "fax_number": "402-484-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE CROCKETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "MAYNARD",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "402-488-1032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIMHP,LMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251092-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kay Shambaugh-Miller, RN
• Barbara Sue Shamburg, LMHP
• Baseh Shamo
• Greta A Shanahan, LMHP, CPC
• Matthew J. Shanahan, M.S.
• Shane Crockett
• Alyssah M Shane
• Christine Ann Shank, NP-C
• Janice Robin Shannon
• Shiona Shakir Shannon

• Community/Behavioral Health Agency in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Community/Behavioral Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.