FIRST STEP RECOVERY CENTER INC. (NPI# 1669547113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669547113 |
Entity Type | Organization |
Organization Name | FIRST STEP RECOVERY CENTER INC. |
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 | 2006-11-21 |
Last Update Date | 2013-10-22 |
Authorized Official Name | MR. JARED RAY (DIRECTOR/OPERATIONS COORDINATOR) |
Authorized Official Telephone | 4024342730 |
Authorized Official Credential | BA |
Is Organization Subpart | Y |
Parent Organization Name | FIRST STEP RECOVERY CENTER INC. |
Parent Organization TIN |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | SATC089 | NE | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | BCBS - OUT PAT MH | 99036 | 01 |
NE | MAGELLAN MIS PLAZA SITE | 456304000 | 01 |
NE | BCBS PROV SUPERVISION | 96079 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306919881 | First Step Recovery Center Inc. | Clinic/Center | 300 S 68th Street Pl, Suite 500, Lincoln, NE 68510-2475 | 2006-11-15 |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1659805109 | Amy Pandorf | Clinic/Center | 2231 Independence Dr, Lincoln, NE 68521-1121 | 2017-04-11 |
1831548627 | Care Clinic Now PC | Clinic/Center | 7121 Stephanie Ln Ste 100a, Lincoln, NE 68516-5359 | 2016-06-13 |
1831252121 | The Express Clinic, LLC | Clinic/Center | 2525 Pine Lake Road Practice Location 68512, Po 23048 68542, Lincoln, NE 68542 | 2006-12-18 |
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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.