SHANE CROCKETT (NPI# 1396018198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396018198 |
| Entity Type | Organization |
| Organization Name | SHANE CROCKETT |
| Practice Address |
8101 'o' Street Suite 214 Lincoln NE 68510-2647 |
| Practice Telephone | 4024881032 |
| Practice Fax Number | 4024848545 |
| Mailing Telephone | 4024881032 |
| Mailing Fax Number | 4024848545 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| Authorized Official Name | MR. SHANE MAYNARD CROCKETT (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 4024881032 |
| Authorized Official Credential | LIMHP,LMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 834 | NE | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100251092-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518239797 | Shane Crockett | Counselor | 8101 O St, Suite 118, Lincoln, NE 68510-2646 | 2012-02-02 |
| Street Address |
8101 'O' STREET SUITE 214 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679674436 | Nichole Hurt | Social Worker | 8101 'o' Street, Suite 214, Lincoln, NE 68510 | 2006-09-26 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785126 | Michaella Nicole Arnold | Community/Behavioral Health | 5539 S 27th St Ste 204, Lincoln, NE 68512-1600 | 2020-06-19 |
| 1114439353 | Families Inspiring Families | Community/Behavioral Health | 1645 N St, Lincoln, NE 68508-1824 | 2017-10-27 |
| 1659892826 | Resouces for Human Development, Inc. | Community/Behavioral Health | 6120 S 58th St Ste B, Lincoln, NE 68516-6403 | 2017-06-28 |
| 1033505003 | Lincoln Treatment Center, LLC | Community/Behavioral Health | 4305 O St, Lincoln, NE 68510-1754 | 2015-04-07 |
| 1760874739 | Abled, Incorporated | Community/Behavioral Health | 7562 Upton Grey Ln, Lincoln, NE 68516-5694 | 2015-02-26 |
| 1417397084 | Guidance To Success Youth Club | Community/Behavioral Health | 6500 Holdrege St, Lincoln, NE 68505-1673 | 2013-06-27 |
| 1245547280 | Riverside Community Center | Community/Behavioral Health | 8 Fleming St, Lincoln, ME 04457-1419 | 2010-09-13 |
| 1447578547 | Irma Perez Mendez | Community/Behavioral Health | 1530 3rd St Ste 202, Lincoln, CA 95648-2501 | 2010-05-13 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1528221942 | Developmental Services of Nebraska Inc | Community/Behavioral Health | 5701 Thompson Creek Blvd, Ste 200, Lincoln, NE 68516-5600 | 2008-07-07 |
| 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.