SACRED GROUND PSYCHOTHERAPY LLC (NPI# 1205493202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205493202 |
| Entity Type | Organization |
| Organization Name | SACRED GROUND PSYCHOTHERAPY LLC |
| Practice Address |
4535 Normal Blvd Ste 201 Lincoln NE 68506-2891 |
| Practice Telephone | 4024211182 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | JONATHAN MARCOTTE (SELF PHD) |
| Authorized Official Telephone | 4027831555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 5348694785 | 05 |
| Street Address |
4535 NORMAL BLVD STE 201 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-2891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130165 | Jonathan Marcotte | Psychologist | 4535 Normal Blvd Ste 201, Lincoln, NE 68506-2891 | 2017-08-21 |
| 1528543857 | Nathan Cole Taylor | Marriage & Family Therapist | 4535 Normal Blvd Ste 201, Lincoln, NE 68506-2891 | 2018-10-02 |
| 1952888240 | Alexandra Lynne Marcotte | Counselor | 4535 Normal Blvd Ste 201, Lincoln, NE 68506-2891 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487180 | Mark Edward Lukin | Psychologist | 2744 Stratford Ave, Lincoln, NE 68502-4247 | 2020-08-10 |
| 1356822423 | Alice N Mitwaruciu | Psychologist | 620 N 48th St Ste 202, Lincoln, NE 68504-3466 | 2018-08-27 |
| 1689179921 | Camie L Nitzel, Phd Lp, LLC | Psychologist | 8001 S 15th Ste C, Lincoln, NE 68512-5963 | 2018-03-28 |
| 1083130165 | Jonathan Marcotte | Psychologist | 4535 Normal Blvd Ste 201, Lincoln, NE 68506-2891 | 2017-08-21 |
| 1710403423 | Kathy M Huff | Psychologist | 4740 S 45th St, Lincoln, NE 68516-1713 | 2017-08-15 |
| 1104275049 | Paula Ray Psyd, LLC | Psychologist | 610 J St Ste 320, Lincoln, NE 68508-2967 | 2016-06-10 |
| 1760863260 | Midwest Neurofeedback, LLC | Psychologist | 1530 S 70th St Ste 200, Lincoln, NE 68506-1567 | 2015-06-11 |
| 1407291149 | Sarah King | Psychologist | 7130 S 29th St Ste G, Lincoln, NE 68516-5841 | 2013-05-08 |
| 1306084876 | Jlo Psychological Consulting PC | Psychologist | 1203 High St, Lincoln, NE 68502-4560 | 2009-01-21 |
| 1952448102 | Kitty Stein | Psychologist | 12 Farrar Rd, Lincoln, MA 01773-5012 | 2007-01-30 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.