BRENDA WRAY (NPI# 1851762116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851762116 |
| Entity Type | Individual |
| Full Name | BRENDA WRAY |
| Credential | LADC |
| Practice Address |
4600 Valley Rd Ste 223 Lincoln NE 68510-4892 |
| Mailing Address |
3345 Grainger Pkwy Unit C Lincoln NE 68516-5083 |
| Practice Telephone | 4024834571 |
| Practice Fax Number | 4024834594 |
| Mailing Telephone | 4023276822 |
| Mailing Fax Number | 4024834594 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NE | Behavioral Health & Social Service Providers |
| Street Address |
4600 VALLEY RD STE 223 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-4892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548731755 | Jamie Nicole Corder | Counselor | 4600 Valley Rd Ste 223, Lincoln, NE 68510-4892 | 2018-12-16 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352579 | Kendra Bishop | Counselor | 2109 S 24th St, Lincoln, NE 68502-4002 | 2020-10-02 |
| 1992320980 | Eric Johnson LLC | Counselor | 301 S 70th St Ste 313, Lincoln, NE 68510-2469 | 2020-06-15 |
| 1730712977 | Justin Michael Antons | Counselor | 127 S 37th St Ste B, Lincoln, NE 68510-1502 | 2020-02-17 |
| 1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
| 1639713324 | Eric Andrew Johnson | Counselor | 301 S 70th St # 313, Lincoln, NE 68510-2469 | 2019-11-05 |
| 1285285379 | Victoria Brock | Counselor | 5351 Colby St, Lincoln, NE 68504-3044 | 2019-09-20 |
| 1912553199 | Christopher Wayne Jobman | Counselor | 2554 Sw 19th St, Lincoln, NE 68522-2455 | 2019-08-14 |
| 1942865399 | Jennifer Michelle Rokeby-mayeux | Counselor | 1231 North 38th Street, Lincoln, NE 68504 | 2019-05-01 |
| 1194207142 | Stephanie Delgado | Counselor | 1640 Lake Street, Lincoln, NE 68502 | 2018-09-05 |
| 1568968048 | Gary Chalon Moon | Counselor | 385 Lilac Ln, Lincoln, CA 95648-8165 | 2018-04-03 |
| 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.