Lee Derrick Clausen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12840 Issued in NE

Practice address

7300 S 40TH St
Lincoln, NE 68516-3010

Phone

(402) 416-0625

NPI assigned

Jan 21, 2022

Last updated

Jan 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oasis Healing Hands Healing Minds

  • Counselor
  • Lincoln, NE
  • NPI 1265192587
  NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1790437606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 S 40TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163010",
            "telephone_number": "402-416-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 S 40TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163010",
            "telephone_number": "402-416-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSEN",
        "first_name": "LEE",
        "middle_name": "DERRICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1938",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026909200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzette R Clarke, MD
• Jayce Tyler Clary
• Megan Classen, MS, OTR/L, CLT
• Tammy Lynn Classen, PT
• Lyndze Marie Clause
• Kayla Clay
• Chanya Charmaine Clayborn
• Jaden Claycamp
• Michelle Leigh Claycomb
• Robert Claymiller

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.