Provider Demographics
NPI:1164853339
Name:LINDA K. PAUGELS, LLC
Entity type:Organization
Organization Name:LINDA K. PAUGELS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROFESSIONAL/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:PAUGELS
Authorized Official - Suffix:
Authorized Official - Credentials:PC LACD, LIMHP
Authorized Official - Phone:402-474-2500
Mailing Address - Street 1:3543 S 75TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-4608
Mailing Address - Country:US
Mailing Address - Phone:402-474-2500
Mailing Address - Fax:844-269-6853
Practice Address - Street 1:2222 S 16TH ST
Practice Address - Street 2:STE 420
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3796
Practice Address - Country:US
Practice Address - Phone:402-474-2500
Practice Address - Fax:844-269-6853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
683606OtherVALUE OPTIONS
1487077582OtherNPI FOR COLLEEN LECHER, CPC, LMHP
9999226OtherAETNA
80145800OtherMAGELLAN BEHAVIORAL HEALTH
85077OtherBCBS
NE10025916800Medicaid
1659588150OtherNPI FOR LINDA K LANGLEY-PAUGELS, MS, CPC, LADC, LIMHP
33062OtherMHNET
1679781975OtherNPI JENNY SIEVERS MS, LIMHP, LADC
3151768OtherUNITED HEALTH CARE