Active NPI
Linda Brummels, MS
- Mental Health Counselor
- Wayne, NE
National Provider Identifier
1558879809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1078
- Practice address
- 421 N Pearl St
Wayne, NE 68787-1904 - Phone
- (402) 286-4891
- NPI assigned
- Jan 19, 2018
- Last updated
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1078 | NE | |
| Professional Counselor | 101YP2500X | 817 | NE | |
| Mental Health Counselor | 101YM0800X | 1078 | NE | Primary |
Addresses
Primary practice location
421 N Pearl St
Wayne, NE 68787-1904
Mailing address
85365 567TH Ave
Winside, NE 68790
Phone (402) 833-8440
Other practice location 1
85365 567th Ave
Winside, NE 98790
Phone (402) 833-8440
Other names 1
- Lin Marshall Brummels
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl Street Counseling, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Wayne, NE
- NPI 1396209623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1558879809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85365 567TH AVE",
"city": "WINSIDE",
"state": "NE",
"postal_code": "68790",
"telephone_number": "402-833-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 N PEARL ST",
"city": "WAYNE",
"state": "NE",
"postal_code": "687871904",
"telephone_number": "402-286-4891"
}
],
"practiceLocations": [
{
"address_1": "85365 567th Ave",
"address_purpose": "LOCATION",
"city": "Winside",
"state": "NE",
"postal_code": "98790",
"country_code": "US",
"telephone_number": "402-833-8440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUMMELS",
"first_name": "LINDA",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-19",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "1078",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "817",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIN",
"last_name": "BRUMMELS",
"middle_name": "MARSHALL",
"credential": "MS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Wayne, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.