Pearl Street Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEARL STREET COUNSELING, LLC

Practice address

421 N Pearl Street
Wayne, NE 68787

Phone

(402) 286-4891

NPI assigned

Jan 31, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Lin M Brummels, LMHP, CDC

Title

Authorized Agent

Phone

(402) 286-4891

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Linda Brummels, MS

  • Mental Health Counselor
  • Wayne, NE
  • NPI 1558879809
  NPD (past)

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1396209623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85365 567TH AVENUE",
            "city": "WINSIDE",
            "state": "NE",
            "postal_code": "68790",
            "telephone_number": "402-286-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N PEARL STREET",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "68787",
            "telephone_number": "402-286-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL STREET COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "BRUMMELS",
        "authorized_official_first_name": "LIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "402-286-4891",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHP, CDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie J Palma
• Paradox Physical Therapy, LLC
• Mark Patefield, RP
• Ashley Lauren Patterson
• Paula M Peterson
• Asha Ladawn Perry
• Peterson Therapy Services LLC
• Diane K Peterson, PT
• Sarah M Peterson, D.C
• Cohan Pietz

• Mental Health Counselor in Wayne, NE
• Providers in Wayne, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.