Active NPI
Cedars Youth Services
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1730233990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CEDARS YOUTH SERVICES
- Practice address
- 6601 Pioneers Blvd
Ste 1
Lincoln, NE 68506-5260 - Phone
- (402) 434-5437
- Fax
- (402) 437-8833
- NPI assigned
- Jan 23, 2007
- 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
- Mrs. Cindy A Rudolph
- Title
- Cfo
- Phone
- (402) 437-8825
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NE | Primary |
Addresses
Primary practice location
6601 Pioneers Blvd
Ste 1
Lincoln, NE 68506-5260
Mailing address
6601 Pioneers Blvd
Ste 1
Lincoln, NE 68506-5260
Phone (402) 434-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100255596-00 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
6601 Pioneers Blvd
Ste 1
Lincoln, NE 68506
Phone (402) 434-5437
Practitioners & affiliated clinicians
Practitioners 3
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 1952836611
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1356495469
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1548937717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1730233990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 PIONEERS BLVD",
"address_2": "STE 1",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065260",
"telephone_number": "402-434-5437",
"fax_number": "402-437-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 PIONEERS BLVD",
"address_2": "STE 1",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065260",
"telephone_number": "402-434-5437",
"fax_number": "402-437-8833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDARS YOUTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "RUDOLPH",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "402-437-8825",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100255596-00",
"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 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.