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Camelot Care Services

Organization Active NPI Mental Health Counselor · Lincoln, NE

NPI 1831237361 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1831237361
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
License
3141 (NE)
Legal business name
CAMELOT CARE SERVICES
Practice address
1640 S 70TH St
Lincoln, NE 68506-1571
Phone
(402) 484-6060
NPI assigned
Feb 5, 2007
Organization subpart
No

Authorized official

Name
Daniel Douglas Rasmussen, LMHP, LADC
Title
Therapist
Phone
(402) 570-6407

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Camelot Care Centers in (20 organizations share this tax ID)

Locations

1640 S 70th St
Lincoln, NE 68506
Phone (402) 484-6060

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP		 101YM0800X 3141 NE Yes

Addresses

Primary practice location

1640 S 70TH St
Lincoln, NE 68506-1571

Mailing address

1640 S 70TH St
Lincoln, NE 68506-1571
Phone (402) 484-6060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831237361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061571",
            "telephone_number": "402-484-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061571",
            "telephone_number": "402-484-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "402-570-6407",
        "authorized_official_credential": "LMHP, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

All providers in Lincoln, NE · Mental Health Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.