Organization Active NPI

Enlighten Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Lincoln, NE
National Provider Identifier
1508275801
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENLIGHTEN BEHAVIORAL HEALTH LLC
Practice address
7615 Nashway Rd
Lincoln, NE 68516-3397
Phone
(402) 440-1764
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Patrick Lee Kreifels, LCMSWNPI 1871883512
Title
Owner/Manager
Phone
(402) 440-1764

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

7615 Nashway Rd
Lincoln, NE 68516-3397

Mailing address

7615 Nashway Rd
Lincoln, NE 68516-3397
Phone (402) 440-1764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140821001150 NE Part B Supplier - Clinic/Group Practice 6002034717 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1508275801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 NASHWAY RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163397",
            "telephone_number": "402-440-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 NASHWAY RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163397",
            "telephone_number": "402-440-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "KREIFELS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "402-440-1764",
        "authorized_official_credential": "LCMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "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 Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.