Organization Active NPI

Innovative Solutions, LLC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1619068483
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7975 Issued in NE
Legal business name
INNOVATIVE SOLUTIONS, LLC
Practice address
9110 Foxtail Dr
Lincoln, NE 68526-9521
Phone
(402) 890-4954
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Andrea Phillips, PLMHPNPI 1861590341
Title
Therapist
Phone
(402) 730-7841

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 SINGLE SPECIALTY GROUP 101YM0800X 7975 NE Primary

Addresses

Primary practice location

9110 Foxtail Dr
Lincoln, NE 68526-9521

Mailing address

9110 Foxtail Dr
Lincoln, NE 68526-9521
Phone (402) 890-4954

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619068483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 FOXTAIL DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269521",
            "telephone_number": "402-890-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 FOXTAIL DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269521",
            "telephone_number": "402-890-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "402-730-7841",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7975",
            "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 22, 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.