Active NPI
Holistic Healing Counseling Center, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincoln, NE
National Provider Identifier
1649983545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HOLISTIC HEALING COUNSELING CENTER, LLC
- Practice address
- 4344 N 62ND St
Lincoln, NE 68507-1215 - Phone
- (308) 360-2444
- NPI assigned
- Jan 5, 2023
- 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
- Dezi McEvoy, LICSW
- Title
- Therapist
- Phone
- (308) 360-2444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4344 N 62ND St
Lincoln, NE 68507-1215
Mailing address
5700 S 96TH St
Lincoln, NE 68526-9753
Phone (308) 360-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4344 N 62nd St
Ste 5
Lincoln, NE 68507
Phone (308) 360-2444
Practitioners & 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 1861940496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675814400000",
"number": "1649983545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 S 96TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269753",
"telephone_number": "308-360-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4344 N 62ND ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685071215",
"telephone_number": "308-360-2444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC HEALING COUNSELING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2023-02-08",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "MCEVOY",
"authorized_official_first_name": "DEZI",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "308-360-2444",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"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 Feb 8, 2023; 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.