MARY KAY WOOD, LLC (NPI# 1689295560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689295560 |
| Entity Type | Organization |
| Organization Name | MARY KAY WOOD, LLC |
| Other Organization Name | MARY KAY WOOD |
| Practice Address |
3611 Lowell Ave Lincoln NE 68506-4848 |
| Practice Telephone | 4024831344 |
| Practice Fax Number | 4024778284 |
| Mailing Telephone | 4024831344 |
| Mailing Fax Number | 4024778284 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | MARY KAY WOOD (OWNER) |
| Authorized Official Telephone | 4024831344 |
| 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 |
| Other Name | Type Code |
|---|---|
| Mary Kay Wood | Former Legal Business Name - Organization |
| Street Address |
3611 LOWELL AVE |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-4848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| 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 |
| 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 |
| 1427522275 | Jill L Martens | Counselor | 8850 Fremont St Apt 180, Lincoln, NE 68507-2280 | 2019-01-15 |
| 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.