Individual provider Active NPI

Carol Sue Cunningham, MS LMHP CPC CMFT

  • Professional Counselor
  • Lincoln, NE
National Provider Identifier
1710049325
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
883 Issued in NE
Practice address
3901 Normal Blvd
Ste 201
Lincoln, NE 68506-5250
Phone
(402) 434-2550
Fax
(402) 434-2358
NPI assigned
Dec 14, 2006
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1095 NE
Professional Counselor 101YP2500X 883 NE Primary
Marriage & Family Therapist 106H00000X 029 NE

Addresses

Primary practice location

3901 Normal Blvd
Ste 201
Lincoln, NE 68506-5250

Mailing address

3901 Normal Blvd
Ste 201
Lincoln, NE 68506-5250
Phone (402) 434-2550

Other identifiers 3

IdentifierTypeStateIssuer
294496000OtherNEMIS NUMBER MAGELLAN
47067928413MedicaidNE
84436OtherNEBCBS

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

State licenses

LicenseStateTypeSpecialty
883NEMDPsychologist
029NEMDMarriage & Family Therapist
1095NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Institute for Families & Youth Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1710049325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NORMAL BLVD",
            "address_2": "STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065250",
            "telephone_number": "402-434-2550",
            "fax_number": "402-434-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NORMAL BLVD",
            "address_2": "STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065250",
            "telephone_number": "402-434-2550",
            "fax_number": "402-434-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CAROL",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MS LMHP CPC CMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1095",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "883",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIS NUMBER MAGELLAN",
            "identifier": "294496000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47067928413",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84436",
            "state": "NE"
        }
    ],
    "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 Dec 3, 2014; 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.