BRYAN LGH WEST INDEPENDENCE CENTER (NPI# 1578852968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578852968 |
| Entity Type | Organization |
| Organization Name | BRYAN LGH WEST INDEPENDENCE CENTER |
| Practice Address |
1650 Lake St Lincoln NE 68502-3734 |
| Practice Telephone | 4024815268 |
| Practice Fax Number | 4024815495 |
| Mailing Telephone | 4024815268 |
| Mailing Fax Number | 4024815495 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | JILL BERGER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4024815318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 832 | NE | Residential Treatment Facilities |
| Street Address |
1650 LAKE ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68502-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639256795 | Kelly Madigan Erlandson | Counselor | 1650 Lake St, Bryan Lgh Independence Center, Lincoln, NE 68502 | 2006-11-01 |
| 1326288309 | Jill Ann Johnson | Counselor | 1650 Lake St, Lincoln, NE 68502-3734 | 2009-03-03 |
| 1003065061 | Erica M Woodruff | Counselor | 1650 Lake St, Lincoln, NE 68502-3734 | 2008-09-15 |
| 1881760742 | Terri S Shoop | Counselor | 1650 Lake St, Bryan Lgh Independence Center, Lincoln, NE 68502 | 2006-11-24 |
| 1780757922 | Duane E Engel | Counselor | 1650 Lake St, Bryan Lgh Independence Center, Lincoln, NE 68502 | 2006-11-16 |
| 1194898338 | Mary M Gates | Counselor | 1650 Lake St, Bryan Lgh Independence Center, Lincoln, NE 68502 | 2006-11-16 |
| 1639242878 | Rhonda A Hill | Counselor | 1650 Lake St, Bryan Lgh Independence Center, Lincoln, NE 68502 | 2006-11-16 |
| 1174696322 | Betty Jane Brittenham | Counselor | 1650 Lake St, Bryan Lgh Independence Center, Lincoln, NE 68502 | 2006-11-16 |
| 1083787238 | Katherine Lynne Lang | Counselor | 1650 Lake St, Bryan Lgh Independence Center, Lincoln, NE 68502 | 2006-11-16 |
| 1891868048 | Nancy K Pennell | Counselor | 1650 Lake St, Bryan Lgh Independence Center, Lincoln, NE 68502 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228524 | Denison J Salisbury | Chiropractor | 3121 South 11th St, Lincoln, NE 68502 | 2020-05-29 |
| 1194207142 | Stephanie Delgado | Counselor | 1640 Lake Street, Lincoln, NE 68502 | 2018-09-05 |
| 1598259640 | Jh Wellness Services, LLC | Social Worker | 2737 S 12th St, Lincoln, NE 68502 | 2018-06-20 |
| 1508365776 | Karen Sloboda | Chiropractor | 3121 South 11th Street, Lincoln, NE 68502 | 2018-02-02 |
| 1417472762 | Nusp1, P.C. | Chiropractor | 3245 Pioneers Blvd, Lincoln, NE 68502 | 2017-08-08 |
| 1467976308 | Bryan Health Connect | Preferred Provider Organization | 2300 S 16th Street, Lincoln, NE 68502 | 2017-08-02 |
| 1235586348 | Justin Cook | Chiropractor | 3121 S. 11th St., Lincoln, NE 68502 | 2016-05-18 |
| 1316319924 | Cari Musgrove | Pharmacist | 2300 So 16th St, Bryan West Pharmacy, Lincoln, NE 68502 | 2015-10-22 |
| 1164866976 | Trevor Gregath | Psychiatry & Neurology | 2222 S 16th St Ste 340, Lincoln, NE 68502 | 2013-04-23 |
| 1023374808 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 South St L, Lincoln, NE 68502 | 2012-04-06 |
| Find all providers in zip 68502 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811314081 | Amy Barton | Substance Abuse Rehabilitation Facility | 2633 P Street, Lincoln, NE 68503 | 2014-03-25 |
| 1447676176 | Kevin Beckler | Substance Abuse Rehabilitation Facility | 1832 S 15th St, Lincoln, NE 68502-2410 | 2014-03-05 |
| 1265869739 | Kendra K Bevans | Substance Abuse Rehabilitation Facility | 1616 Urbana Ln, Lincoln, NE 68505-1573 | 2013-09-30 |
| 1578797064 | Amber N Waddell | Substance Abuse Rehabilitation Facility | 721 J St, Lincoln, NE 68508 | 2009-05-12 |
| 1487781068 | Houses of Hope of Ne Inc | Substance Abuse Rehabilitation Facility | 1545 Washington, Lincoln, NE 68502-2457 | 2007-02-28 |
| 1578690152 | Houses of Hope of Nebraska, Inc | Substance Abuse Rehabilitation Facility | 6445 Orchard St, Lincoln, NE 68505-1853 | 2007-02-28 |
| 1639204324 | Houses of Hope of Ne Inc | Substance Abuse Rehabilitation Facility | 1100 Military Avenue, Lincoln, NE 68508-1047 | 2007-02-22 |
| 1922133610 | Houses of Hope of Ne Inc | Substance Abuse Rehabilitation Facility | 2009 South 16th Street, Lincoln, NE 68502-2431 | 2007-02-22 |
| 1629120191 | St. Monica's | Substance Abuse Rehabilitation Facility | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2007-01-17 |
| 1679638084 | Antlers Inc | Substance Abuse Rehabilitation Facility | 2501 South Street, Lincoln, NE 68502-3050 | 2006-12-26 |
| 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.