Organization Active NPI

Origins Behavioral Health, LLC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1861775504
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ORIGINS BEHAVIORAL HEALTH, LLC
Practice address
5801 S 58TH St
Suite C
Lincoln, NE 68516-6404
Phone
(402) 489-9990
Fax
(402) 261-9202
NPI assigned
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Tricia Kay Monzon, LMHP, LADC
Title
Owner/Therapist
Phone
(402) 489-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5801 S 58TH St
Suite C
Lincoln, NE 68516-6404

Mailing address

5801 S 58TH St
Suite C
Lincoln, NE 68516-6404
Phone (402) 489-9990

Other identifiers 1

IdentifierTypeStateIssuer
100253331-00MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Origins Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5801 S 58th St
Ste C
Lincoln, NE 68516
Phone (402) 261-8974

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1861775504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 S 58TH ST",
            "address_2": "SUITE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166404",
            "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": "5801 S 58TH ST",
            "address_2": "SUITE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166404",
            "telephone_number": "402-489-9990",
            "fax_number": "402-261-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "MONZON",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "402-489-9990",
        "authorized_official_credential": "LMHP, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Sep 20, 2011; 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.