NPIMap

Organization Active NPI

Friendship House, Inc.

  • Community/Behavioral Health Agency
  • Grand Island, NE
National Provider Identifier
1861926628
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SATC005 Issued in NE
Legal business name
FRIENDSHIP HOUSE, INC.
Doing business as
Friendship House Counseling Clinic
Practice address
707 W 1St St
Grand Island, NE 68801-5805
Phone
(308) 382-0422
Fax
(308) 382-6195
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Mr. Tara Lesiak
Title
Director of HR/Qi
Phone
(308) 382-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SATC005 NE Primary

Addresses

Primary practice location

707 W 1St St
Grand Island, NE 68801-5805

Mailing address

707 W 1St St
Grand Island, NE 68801-5805
Phone (308) 382-0422

Other names 1

  • Friendship House Counseling Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240914000422 NE Part B Supplier - Clinic/Group Practice 3971043167 Receives reassigned benefits from 4 practitioners
Practice locations: Grand Island, NE

National Provider Directory

National Provider Directory
Tax ID family
Friendship House2 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.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1861926628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W 1ST ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015805",
            "telephone_number": "308-382-0422",
            "fax_number": "308-382-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 1ST ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015805",
            "telephone_number": "308-382-0422",
            "fax_number": "308-382-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "LESIAK",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "DIRECTOR OF HR/QI",
        "authorized_official_telephone_number": "308-382-0422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "SATC005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship House Counseling Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.