NPIMap

Organization Active NPI

Lynn E Flint Widdifield

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1437217643
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1209 Issued in NE
Legal business name
LYNN E FLINT WIDDIFIELD
Practice address
1811 W 2ND St
Suite 310
Grand Island, NE 68803-5464
Phone
(308) 381-0787
Fax
(308) 381-4632
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Mrs. Lynn E Flint Widdifield, LMHP ATR BCNPI 1114003308
Title
Owner Sole Therapist
Phone
(308) 381-0787

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 1209 NE Primary

Addresses

Primary practice location

1811 W 2ND St
Suite 310
Grand Island, NE 68803-5464

Mailing address

1811 W 2ND St
Suite 310
Grand Island, NE 68803-5413
Phone (308) 381-0787

Other identifiers 1

IdentifierTypeStateIssuer
10025443500MedicaidNE

National Provider Directory

National Provider Directory

Locations

1811 W 2nd St
Ste 310
Grand Island, NE 68803
Phone (308) 381-0787

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1437217643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W 2ND ST",
            "address_2": "SUITE 310",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035413",
            "telephone_number": "308-381-0787",
            "fax_number": "308-381-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W 2ND ST",
            "address_2": "SUITE 310",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035464",
            "telephone_number": "308-381-0787",
            "fax_number": "308-381-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN E FLINT WIDDIFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "FLINT WIDDIFIELD",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER SOLE THERAPIST",
        "authorized_official_telephone_number": "308-381-0787",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHP ATR BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025443500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.