Individual provider Active NPI

Monica Lynn Oberembt, BS

  • Addiction (Substance Use Disorder) Counselor
  • Lincoln, NE
National Provider Identifier
1750544359
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
718 Issued in NE
Practice address
210 Gateway Mall
342 Greentree Court
Lincoln, NE 68505-2489
Phone
(402) 434-2730
Fax
(402) 434-2970
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 718 NE Primary

Addresses

Primary practice location

210 Gateway Mall
342 Greentree Court
Lincoln, NE 68505-2489

Mailing address

210 Gateway Mall
342 Greentree Court
Lincoln, NE 68505-2489
Phone (402) 434-2730

Other identifiers 4

IdentifierTypeStateIssuer
345680000OtherNEMAGELLAN, FSI
47075636930MedicaidNE
456304000OtherNEMAGELLAN, FSI
47075636998MedicaidNE

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
718NEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1750544359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GATEWAY MALL",
            "address_2": "342 GREENTREE COURT",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052489",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GATEWAY MALL",
            "address_2": "342 GREENTREE COURT",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052489",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEREMBT",
        "first_name": "MONICA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN, FSI",
            "identifier": "345680000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075636930",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN, FSI",
            "identifier": "456304000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075636998",
            "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 Jul 3, 2008; 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.