Organization Active NPI

Brookhaven Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, NE
National Provider Identifier
1801472030
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BROOKHAVEN THERAPY, LLC
Practice address
3201 S 33Rd St Ste C
Lincoln, NE 68506-5755
Phone
(402) 225-6527
NPI assigned
Mar 18, 2021
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Mr. John-Paul Reilly Witt, LMHPNPI 1386284545
Title
Licensed Mental Health Practitioner
Phone
(402) 225-6527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3201 S 33Rd St Ste C
Lincoln, NE 68506-5755

Mailing address

3201 S 33Rd St Ste C
Lincoln, NE 68506-5755
Phone (402) 225-6527

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260109003174 NE Part B Supplier - Clinic/Group Practice 3072099951 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1801472030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S 33RD ST STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065755",
            "telephone_number": "402-225-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S 33RD ST STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065755",
            "telephone_number": "402-225-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "JOHN-PAUL",
        "authorized_official_middle_name": "REILLY",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH PRACTITIONER",
        "authorized_official_telephone_number": "402-225-6527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 31, 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.