NPIMap

Organization Active NPI

Origins Health and Wellness, LLC

  • Counselor
  • Lincoln, NE
National Provider Identifier
1790156040
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LIMHP 1088; LADC 697 Issued in NE
Legal business name
ORIGINS HEALTH AND WELLNESS, LLC
Practice address
2123 Winthrop Rd
Suite B
Lincoln, NE 68502-4156
Phone
(402) 489-9990
Fax
(402) 261-9202
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Tricia Kay Monzon, MANPI 1871647081
Title
Owner
Phone
(402) 489-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LIMHP 1088; LADC 697 NE Primary

Addresses

Primary practice location

2123 Winthrop Rd
Suite B
Lincoln, NE 68502-4156

Mailing address

2123 Winthrop Rd
Suite B
Lincoln, NE 68502-4156
Phone (402) 489-9990

Other identifiers 1

IdentifierTypeStateIssuer
100253331-00MedicaidNE

National Provider Directory

National Provider Directory

Locations

2123 Winthrop Rd
Ste B
Lincoln, NE 68502
Phone (402) 202-8446

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": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1790156040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 WINTHROP RD",
            "address_2": "SUITE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024156",
            "telephone_number": "402-489-9990",
            "fax_number": "402-261-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 WINTHROP RD",
            "address_2": "SUITE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024156",
            "telephone_number": "402-489-9990",
            "fax_number": "402-261-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINS HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "MONZON",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-489-9990",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NE",
            "license": "LIMHP 1088; LADC 697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253331-00",
            "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 Oct 13, 2015; 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.