FIRST STEP RECOVERY CENTER INC. (NPI# 1306919881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306919881 |
Entity Type | Organization |
Organization Name | FIRST STEP RECOVERY CENTER INC. |
Other Organization Name | FIRST STEP |
Practice Address |
300 S 68th Street Pl Suite 500 Lincoln NE 68510-2475 |
Practice Telephone | 4024342730 |
Practice Fax Number | 4024343970 |
Mailing Telephone | 4024342730 |
Mailing Fax Number | 4024343970 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2016-08-04 |
Authorized Official Name | MR. JARED W RAY (DIRECTOR/OPERATIONS COORDINATOR) |
Authorized Official Telephone | 4024342730 |
Authorized Official Credential | MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
SATC221 | NE | Ambulatory Health Care Facilities |
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
SATC221 | NE | Ambulatory Health Care Facilities |
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
SATC221 | NE | Ambulatory Health Care Facilities |
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
SATC221 | NE | Ambulatory Health Care Facilities |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SATC221 | NE | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
SATC221 | NE | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
SATC221 | NE | Behavioral Health & Social Service Providers |
N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
SATC221 | NE | Allopathic & Osteopathic Physicians |
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
SATC221 | NE | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | MEDICARE PTAN | 098935 | 01 |
NE | BCBS FACILITY SA | 99037 | 01 |
NE | NE MEDICAID ADULT SA PROVIDER ID | 10025734000 | 01 |
NE | NE MEDICAID ADOLESCENT IOP PROVIDER ID | 10026038300 | 01 |
NE | OPTUM FACILITY ID | FAC001060700 | 01 |
NE | NE MEDICAID DP PHARMACY PROVIDER ID | 10026038302 | 01 |
NE | CLIA WAIVER CERT. | 28D2077900 | 01 |
NE | BCBS FACILITY MH | 99036 | 01 |
NE | COVENTRY FACILITY ID | 994768 | 01 |
NE | MEDICARE RR UPIN | CJ5965 | 01 |
NE | VALUE OPTIONS FACILITY ID | 129619 | 01 |
NE | AETNA FACILITY ID | 9094585 | 01 |
NE | NE MEDICAID MEDICAL PROVIDER ID | 10026038301 | 01 |
NE | NCPDP NPDS # | 2819196 | 01 |
Other Name | Type Code |
---|---|
First Step | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669547113 | First Step Recovery Center Inc. | Clinic/Center | 300 S 68th Street Pl, Suite # 500, Lincoln, NE 68510-2475 | 2006-11-21 |
Street Address |
300 S 68TH STREET PL SUITE 500 |
City | LINCOLN |
State | NE |
Zip Code | 68510-2475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184732943 | Wesley Ellwyn Sime | Psychologist | 300 S 68th Street Pl, Suite #500, Lincoln, NE 68510-2475 | 2006-08-29 |
1336518463 | Kayleigh Wolf | Counselor | 300 S 68th Street Pl, Suite 500, Lincoln, NE 68510-2475 | 2015-09-18 |
1396158788 | Shane Meyer | Counselor | 300 S 68th Street Pl, Suite 500, Lincoln, NE 68510-2475 | 2014-06-04 |
1487078135 | Jessica Harms | Counselor | 300 S 68th Street Pl, Suite 500, Lincoln, NE 68510-2475 | 2014-02-14 |
1558790964 | Sherman Mccain II | Counselor | 300 S 68th Street Pl, Suite 500, Lincoln, NE 68510-2475 | 2013-11-06 |
1245510346 | Danielle Leigh Parrish | Counselor | 300 S 68th Street Pl, Suite 500, Lincoln, NE 68510-2475 | 2011-08-19 |
1841598810 | Sharri Fletcher | Counselor | 300 S 68th Street Pl, Suite 500, Lincoln, NE 68510-2475 | 2011-03-01 |
1639474638 | Lawrence Robert Gardiner | Counselor | 300 S 68th Street Pl, Suite 500, Lincoln, NE 68510-2475 | 2011-01-21 |
1588968986 | Misty Rachelle Carville | Counselor | 300 S 68th Street Pl, Suite 500, Lincoln, NE 68510-2475 | 2010-12-29 |
1013156744 | Cristy Sue Leonard-rivers | Counselor | 300 S 68th Street Pl, Suite 500, Lincoln, NE 68510-2475 | 2009-02-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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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.