Active NPI
Wiedel Behavioral Health LLC
- Counselor
- Lincoln, NE
National Provider Identifier
1598396806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- WIEDEL BEHAVIORAL HEALTH LLC
- Practice address
- 3801 Union Dr Ste 206
Lincoln, NE 68516-6652 - Phone
- (402) 489-2218
- NPI assigned
- Jan 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karla Nichole Wiedel
- Title
- Behavioral Health Therapist
- Phone
- (308) 383-5282
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3801 Union Dr Ste 206
Lincoln, NE 68516-6652
Mailing address
3801 Union Dr Ste 206
Lincoln, NE 68516-6652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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 1083786271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580083200000",
"number": "1598396806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 UNION DR STE 206",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 UNION DR STE 206",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166652",
"telephone_number": "402-489-2218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIEDEL BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A",
"authorized_official_last_name": "WIEDEL",
"authorized_official_first_name": "KARLA",
"authorized_official_middle_name": "NICHOLE",
"authorized_official_title_or_position": "BEHAVIORAL HEALTH THERAPIST",
"authorized_official_telephone_number": "308-383-5282",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"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 Jan 27, 2020; 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.