Organization Active NPI

Cedars Youth Services

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1730233990
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Dec 21, 2010

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100255596-00MedicaidNE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.