Organization Active NPI

Lifeworks Wellness, P.C.

  • Mental Health Counselor
  • Hastings, NE
National Provider Identifier
1992049852
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
739 Issued in NE
Legal business name
LIFEWORKS WELLNESS, P.C.
Practice address
440 N Minnesota Ave
Hastings, NE 68901-5254
Phone
(402) 469-3885
Fax
(866) 567-9221
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Stephanie Cobb Kinney, LIMHP
Title
Owner/Ceo
Phone
(402) 469-3885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 739 NE Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1664 NE

Addresses

Primary practice location

440 N Minnesota Ave
Hastings, NE 68901-5254

Mailing address

440 N Minnesota Ave
Hastings, NE 68901-5254
Phone (402) 469-3885

Other identifiers 1

IdentifierTypeStateIssuer
10026277900MedicaidNE

Other names 1

  • Stephanie Cobb Kinney, LIMHP, P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

440 N Minnesota Ave
Hastings, NE 68901
Phone (402) 463-9355

Practitioners & affiliated clinicians

Practitioners 1

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1992049852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N MINNESOTA AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015254",
            "telephone_number": "402-469-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N MINNESOTA AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015254",
            "telephone_number": "402-469-3885",
            "fax_number": "866-567-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "COBB",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "402-469-3885",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "739",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "1664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026277900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Cobb Kinney, LIMHP, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.