Organization Active NPI

Michelle a. Wooten, LLC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1457869067
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10823 Issued in NE
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 HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Michelle A Wooten, LIMHP, CPCNPI 1508210642
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.