MBS LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

485 Issued in NE

Legal business name

MBS LLC

Practice address

3600 Village Dr Ste 110
Lincoln, NE 68516-6631

Phone

(402) 875-9270

Fax

(402) 875-9272

NPI assigned

Sep 15, 2015

Last updated

Sep 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy L Gonnerman, LIMHP

Title

Owner

Phone

(402) 875-9270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1871962308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 VILLAGE DR STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166631",
            "telephone_number": "402-875-9270",
            "fax_number": "402-875-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 VILLAGE DR STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166631",
            "telephone_number": "402-875-9270",
            "fax_number": "402-875-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "GONNERMAN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-875-9270",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.