1164853339 NPI number — LINDA K. PAUGELS, LLC

Table of content: (NPI 1164853339)

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:
JOURNEYS COMPREHENSIVE & COLLABORATIVE COUNSELING
Provider Other Organization Name Type Code:
3
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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