Organization Active NPI

Vantage Psychotherapy

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1417614744
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VANTAGE PSYCHOTHERAPY
Practice address
3701 O St Ste 102
Lincoln, NE 68510-1647
Phone
(402) 480-5469
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Loraine Brasch, LCPC, LCADCNPI 1568096907
Title
Owner
Phone
(402) 480-5469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3701 O St Ste 102
Lincoln, NE 68510-1647

Mailing address

3701 O St Ste 102
Lincoln, NE 68510-1647

National Provider Directory

National Provider Directory

Locations

3701 O St
Ste 102
Lincoln, NE 68510
Phone (402) 480-5469

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1417614744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 O ST STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 O ST STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101647",
            "telephone_number": "402-480-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "BRASCH",
        "authorized_official_first_name": "LORAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-480-5469",
        "authorized_official_credential": "LCPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.