INFINITE CHANGE FAMILY THERAPY CENTER LLC (NPI# 1093295065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093295065 |
| Entity Type | Organization |
| Organization Name | INFINITE CHANGE FAMILY THERAPY CENTER LLC |
| Practice Address |
245 S 84th St Ste L101 Lincoln NE 68510-2601 |
| Practice Telephone | 4024211182 |
| Practice Fax Number | 4024658717 |
| Mailing Telephone | 4024211182 |
| Mailing Fax Number | 4024658717 |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2018-08-18 |
| Authorized Official Name | KADRA OMEROVIC (CREDENTIALING) |
| Authorized Official Telephone | 4024211182 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 50896891202 | 05 |
| Street Address |
245 S 84TH ST STE L101 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124466503 | Kathy Dee Tejcka | Counselor | 245 S 84th St Ste L101, Lincoln, NE 68510-2601 | 2013-06-07 |
| 1205482833 | Tonya Walker | Counselor | 245 S 84th St Ste L101, Lincoln, NE 68510-2601 | 2019-08-09 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410533 | Anne Tapley, Ph.d., LLC | Counselor | 3801 Union Drive, Ste 206, Lincoln, NE 68516-6652 | 2020-09-01 |
| 1770195018 | Jolie Vega | Counselor | 8101 O St # S300, Lincoln, NE 68510-2646 | 2020-08-18 |
| 1366067068 | Alternative Avenues & Associates | Counselor | 4740 A St Ste 200, Lincoln, NE 68510-4824 | 2020-06-09 |
| 1689295560 | Mary Kay Wood, LLC | Counselor | 3611 Lowell Ave, Lincoln, NE 68506-4848 | 2020-05-01 |
| 1013540673 | Unity Youth & Family Services, LLC | Counselor | 6245 Windhaven Drive, Lincoln, NE 68512 | 2020-02-21 |
| 1336786565 | Jessica Schwartz | Counselor | 5 Old Cambridge Tpke, Lincoln, MA 01773-1804 | 2019-12-06 |
| 1518504182 | Positive Perspectives, PC | Counselor | 200 W F St, Lincoln, NE 68508-2964 | 2019-12-03 |
| 1922641471 | Kristine Anne Pothast | Counselor | 2120 S 56th St Ste 206, Lincoln, NE 68506-2118 | 2019-10-28 |
| 1841833019 | Chelsea Schutter | Counselor | 4747 Pioneers Blvd # 10d, Lincoln, NE 68506-5313 | 2019-10-21 |
| 1174180673 | Lisa Fern Mischke | Counselor | 1240 N 10th St, Lincoln, NE 68508-1125 | 2019-05-21 |
| 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.