1164853339 NPI number — LINDA K. PAUGELS, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164853339 NPI number — LINDA K. PAUGELS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LINDA K. PAUGELS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164853339
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/14/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3543 S 75TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68506-4608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-474-2500
Provider Business Mailing Address Fax Number:
844-269-6853

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2222 S 16TH ST
Provider Second Line Business Practice Location Address:
STE 420
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68502-3796
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-474-2500
Provider Business Practice Location Address Fax Number:
844-269-6853
Provider Enumeration Date:
12/12/2013

Additional Information

Authorized Official

Authorized Official Last Name:
PAUGELS
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
KAY
Authorized Official Title or Position:
MENTAL HEALTH PROFESSIONAL/OWNER
Authorized Official Telephone Number:
402-474-2500

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 683606 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1487077582 . This is a "NPI FOR COLLEEN LECHER, CPC, LMHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9999226 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 80145800 . This is a "MAGELLAN BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 85077 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10025916800 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1659588150 . This is a "NPI FOR LINDA K LANGLEY-PAUGELS, MS, CPC, LADC, LIMHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 33062 . This is a "MHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1679781975 . This is a "NPI JENNY SIEVERS MS, LIMHP, LADC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3151768 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".




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