NPIMap

Organization Active NPI

Counseling Affiliates of Nebraska LLC

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1992881270
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
559 Issued in NE
Legal business name
COUNSELING AFFILIATES OF NEBRASKA LLC
Practice address
1550 S 70TH St
Suite 101
Lincoln, NE 68506-1576
Phone
(402) 488-0077
Fax
(402) 488-0017
NPI assigned
Oct 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Ms. Mary Lou Paine, PH.D.NPI 1043224660
Title
Licensed Psychologist
Phone
(402) 488-4489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 559 NE Primary

Addresses

Primary practice location

1550 S 70TH St
Suite 101
Lincoln, NE 68506-1576

Mailing address

1550 S 70TH St
Suite 101
Lincoln, NE 68506-1576
Phone (402) 488-0077

Other identifiers 1

IdentifierTypeStateIssuer
100254513000MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1992881270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S 70TH ST",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061576",
            "telephone_number": "402-488-0077",
            "fax_number": "402-488-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S 70TH ST",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061576",
            "telephone_number": "402-488-0077",
            "fax_number": "402-488-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AFFILIATES OF NEBRASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "PAINE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "402-488-4489",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254513000",
            "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 Oct 27, 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.