DORETTA JANNA BROOKINS (NPI# 1861907602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861907602 |
| Entity Type | Individual |
| Full Name | DORETTA JANNA BROOKINS |
| Practice Address |
1645 N St Lincoln NE 68508-1824 |
| Practice Telephone | 4022082105 |
| Practice Fax Number | 4024414435 |
| Mailing Telephone | 4022082105 |
| Mailing Fax Number | 4024414435 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1645 N ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68508-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439353 | Families Inspiring Families | Community/Behavioral Health | 1645 N St, Lincoln, NE 68508-1824 | 2017-10-27 |
| 1881100709 | Sandra Lee Thompson | Community/Behavioral Health | 1645 N St, Lincoln, NE 68508-1824 | 2017-12-15 |
| 1730693565 | Wendy Patton | Community/Behavioral Health | 1645 N St, Lincoln, NE 68508-1824 | 2017-12-01 |
| 1427562248 | Mandi Jo Solie | Community/Behavioral Health | 1645 N St, Lincoln, NE 68508-1824 | 2017-12-01 |
| 1316451123 | Laura Gildea | Community/Behavioral Health | 1645 N St, Lincoln, NE 68508-1824 | 2017-12-01 |
| 1386159127 | Jessica Nichole Shepard | Community/Behavioral Health | 1645 N St, Lincoln, NE 68508-1824 | 2017-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
| 1518364348 | Jairrion Raino | Social Worker | 1000 South 13th Street, Lincoln, NE 68508 | 2014-11-21 |
| 1518204536 | Robert Scott Fox | Clinic/Center | 110 Q St., Lincoln, NE 68508 | 2013-01-10 |
| 1033418355 | Kimberly Marie Widicker-densberger | Social Worker | 1005 O Street, Suite 300, Lincoln, NE 68508 | 2011-03-25 |
| 1578797064 | Amber N Waddell | Substance Abuse Rehabilitation Facility | 721 J St, Lincoln, NE 68508 | 2009-05-12 |
| 1396803490 | Bright Smile Dental | Dentist | 140 So 16th Street, Lincoln, NE 68508 | 2006-12-04 |
| 1265086698 | Mindful Counseling and Wellness, LLC | Clinic/Center | 421 S 9th St Ste 126, Lincoln, NE 68508 | 2019-07-24 |
| 1366933624 | Leslie Delong, Phd, P.C. | Psychologist | 650 J St Ste 201, Lincoln, NE 68508 | 2018-05-22 |
| 1285153734 | Sara Qadi | Dentist | 4000 E Campus Loop, Lincoln, NE 68508 | 2017-09-15 |
| 1477070415 | Denise J Barrow | Counselor | 815 K St, Lincoln, NE 68508 | 2017-08-29 |
| Find all providers in zip 68508 | ||||
| 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.