Healthcare Provider Details

I. General information

NPI: 1285792945
Provider Name (Legal Business Name): CENTERPOINTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 S 11TH ST
LINCOLN NE
68502-3559
US

IV. Provider business mailing address

2633 P ST
LINCOLN NE
68503-3528
US

V. Phone/Fax

Practice location:
  • Phone: 402-475-5161
  • Fax: 402-475-3300
Mailing address:
  • Phone: 402-475-8717
  • Fax: 402-475-6728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberORGANIZATION # NR
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberORGANIZATION # NR
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberNOT REQUIRED
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberNOT REQUIRED
License Number StateNE

VIII. Authorized Official

Name: CHRISTOPHER HANSEN
Title or Position: CEO
Credential:
Phone: 402-475-8717