NPIMap

Organization Active NPI

Nebraska Peace of Mind Behavioral Health

Doing business as NPM Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1740910736
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEBRASKA PEACE OF MIND BEHAVIORAL HEALTH
Doing business as
NPM Behavioral Health
Practice address
6301 Orchard St Ste 3
Lincoln, NE 68505-1807
Phone
(402) 309-3005
NPI assigned
Jun 13, 2022
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Sam Hasan
Title
Ceo
Phone
(402) 520-6616

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6301 Orchard St Ste 3
Lincoln, NE 68505-1807

Mailing address

6301 Orchard St Ste 3
Lincoln, NE 68505-1807
Phone (402) 520-6616

Other identifiers 1

IdentifierTypeStateIssuer
10027439700MedicaidNE

Other names 1

  • NPM Behavioral Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shasan@nebraskapeaceofmind.kareodirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220824002787 NE Part B Supplier - Clinic/Group Practice 7517341506 Receives reassigned benefits from 12 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1740910736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 ORCHARD ST STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051807",
            "telephone_number": "402-520-6616",
            "fax_number": "402-520-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 ORCHARD ST STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051807",
            "telephone_number": "402-309-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA PEACE OF MIND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-520-6616"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027439700",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shasan@nebraskapeaceofmind.kareodirect.com",
            "affiliation": "N",
            "endpointDescription": "Kareo Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6301 Orchard St Ste 3",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685051807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NPM Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NPM Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2025; 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.