ST. MONICA'S (NPI# 1629120191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629120191 |
| Entity Type | Organization |
| Organization Name | ST. MONICA'S |
| Practice Address |
120 Wedgewood Dr Lincoln NE 68510-2431 |
| Practice Telephone | 4024413768 |
| Practice Fax Number | 4024413770 |
| Mailing Telephone | 4024413768 |
| Mailing Fax Number | 4024413770 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY BARRY-MAGSAMEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4024413767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | SATC024 | NE | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | SATC077 | NE | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | SATC063 | NE | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | SATC102 | NE | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100253488-00 | 05 | |
| NE | 100252179-00 | 05 | |
| NE | 100253821-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316122393 | St. Monica's | Community/Behavioral Health | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2008-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ST. MONICA'S YOUTH CENTER, INC. | 45 Osgood St., Methuen, MA 01844 |
| Street Address |
120 WEDGEWOOD DR |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679108237 | Jae Job | Peer Specialist | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2020-03-04 |
| 1962032904 | Elizabeth Anne Weber | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2020-01-17 |
| 1952946030 | Audrey Ann Gray | Nurse Practitioner | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2019-11-12 |
| 1386109627 | Kelsy Belgum | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2019-01-31 |
| 1821517079 | Tiffany Rishaun Hicks | Case Manager/Care Coordinator | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2017-09-19 |
| 1386182160 | Elizabeth Chalenburg | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2017-02-01 |
| 1467811067 | Eric James Harmes | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2016-02-11 |
| 1073985743 | Natalya Young | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2015-10-21 |
| 1144639741 | Jennifer Somers | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2014-08-07 |
| 1669887402 | Laura Caroline Kersten | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2014-06-30 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 68510 | ||||
| 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 |
| 1679638084 | Antlers Inc | Substance Abuse Rehabilitation Facility | 2501 South Street, Lincoln, NE 68502-3050 | 2006-12-26 |
| 1912538430 | The Charlie Mike Project | Substance Abuse Rehabilitation Facility | 213 W Broadway, Lincoln, ME 04457-4001 | 2020-02-03 |
| 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.