Active NPI
Brookhaven Therapy, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincoln, NE
National Provider Identifier
1801472030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John-Paul Reilly Witt, LMHP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Lincoln, NE
- NPI 1205548096
-
- Clinical Social Worker
- Lincoln, NE
- NPI 1386284545
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.