ORIGINS HEALTH AND WELLNESS, LLC (NPI# 1790156040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790156040 |
| Entity Type | Organization |
| Organization Name | ORIGINS HEALTH AND WELLNESS, LLC |
| Practice Address |
2123 Winthrop Rd Suite B Lincoln NE 68502-4156 |
| Practice Telephone | 4024899990 |
| Practice Fax Number | 4022619202 |
| Mailing Telephone | 4024899990 |
| Mailing Fax Number | 4022619202 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | TRICIA KAY MONZON (OWNER) |
| Authorized Official Telephone | 4024899990 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LIMHP 1088; LADC | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100253331-00 | 05 |
| Street Address |
2123 WINTHROP RD SUITE B |
| City | LINCOLN |
| State | NE |
| Zip Code | 68502-4156 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487117966 | Kimberly Dawn Moore | Counselor | 6315 Aylesworth Ave, Lincoln, NE 68505-1276 | 2019-04-10 |
| 1861980823 | Melodie Dawn Crawford | Counselor | 325 Eastland Dr, Lincoln, AL 35096-4061 | 2018-04-25 |
| 1467958108 | Jillian Lee Miles | Counselor | 617 S 25th St, Lincoln, NE 68510-3002 | 2018-04-02 |
| 1477052793 | Mary Louise Mccauley-long | Counselor | 330 N 56th St, Lincoln, NE 68504-3520 | 2018-02-02 |
| 1114370236 | Kelly Easton | Counselor | 62 Carriage Dr, Lincoln, RI 02865-3428 | 2016-07-14 |
| 1861861718 | Janet Irene Barryrogers | Counselor | 10 Orchard Avenue, Lincoln, RI 02865-4716 | 2015-09-22 |
| 1568861201 | Cornerstone Families II LLC | Counselor | 4630 Antelope Creek Road, Suite 140, Lincoln, NE 68506 | 2014-08-19 |
| 1760894307 | Mary Joan Laging | Counselor | 4100 South St., Suite A, Lincoln, NE 68506 | 2014-06-02 |
| 1144645706 | Jennifer Engelhaupt | Counselor | 8101 O St Ste 118, Lincoln, NE 68510-2647 | 2014-02-19 |
| 1194020636 | Leigh Ann Luff | Counselor | 4600 Valley Rd Ste 225, Lincoln, NE 68510-4892 | 2011-01-13 |
| Find all providers in LINCOLN | ||||
Please comment or provide details below to improve the information on ORIGINS HEALTH AND WELLNESS, LLC.
| 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.