Healthcare Provider Details

I. General information

NPI: 1518363548
Provider Name (Legal Business Name): LINDSAY BRUNDEGE LIMHP, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2014
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6911 VAN DORN ST STE 1
LINCOLN NE
68506-6801
US

IV. Provider business mailing address

809 S 174TH ST
OMAHA NE
68118-3540
US

V. Phone/Fax

Practice location:
  • Phone: 402-991-8093
  • Fax: 402-505-9726
Mailing address:
  • Phone: 402-991-8093
  • Fax: 402-505-9726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1933
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1175
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: