Advanced Psychotherapy LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

576 Issued in NE

Legal business name

ADVANCED PSYCHOTHERAPY LLC

Practice address

1919 S 40TH St Ste 206
Lincoln, NE 68506-5247

Phone

(402) 540-2973

Fax

(888) 959-0716

NPI assigned

Apr 18, 2014

Last updated

Jun 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Seth Brown, LIMHPNPI 1386717445

Title

Owner

Phone

(402) 540-2973

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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.

• Seth J. Brown, MA

  • Counselor
  • Lincoln, NE
  • NPI 1386717445
  Medicare reassignment NPD Authorized official
• Jennifer Lynnelle Brown, MSW

  • Social Worker
  • Lincoln, NE
  • NPI 1790286847

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1720408602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 206",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065247",
            "telephone_number": "402-540-2973",
            "fax_number": "888-959-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 206",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065247",
            "telephone_number": "402-540-2973",
            "fax_number": "888-959-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-540-2973",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026189000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Lincoln, NE by specialty
• Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.

Verify at the official NPI Registry.