Active NPI
Michelle a. Wooten, LLC
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1457869067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10823
- Legal business name
- MICHELLE A. WOOTEN, LLC
- Practice address
- 1600 S 70TH St Ste 200
Lincoln, NE 68506-1568 - Phone
- (402) 937-8832
- NPI assigned
- Jan 17, 2018
- Organization subpart
- Yes
- Parent organization
- WELLSPRING BEHAVORIAL HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle A Wooten, LIMHP, CPC
- Title
- Mental Health Therapist
- Phone
- (402) 309-4487
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10823 | NE | Primary |
Addresses
Primary practice location
1600 S 70TH St Ste 200
Lincoln, NE 68506-1568
Mailing address
12019 S 79TH Ave
Papillion, NE 68046-4609
Phone (402) 309-4487
Other practice location 1
8101 O St Ste 300
Lincoln, NE 68510-2647
Phone (402) 261-3714
National Provider Directory
National Provider Directory- Part of
- Michelle a Wooten LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1508210642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590710400000",
"number": "1457869067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12019 S 79TH AVE",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464609",
"telephone_number": "402-309-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S 70TH ST STE 200",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061568",
"telephone_number": "402-937-8832"
}
],
"practiceLocations": [
{
"address_1": "8101 O St Ste 300",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685102647",
"country_code": "US",
"telephone_number": "402-261-3714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MICHELLE A. WOOTEN, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WELLSPRING BEHAVORIAL HEALTH",
"enumeration_date": "2018-01-17",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A",
"authorized_official_last_name": "WOOTEN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "402-309-4487",
"authorized_official_credential": "LIMHP, CPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10823",
"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 May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.