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Pine Lake Behavioral Health, LLC.

Clinic/Center in Lincoln, NE · enumerated 2018 · authorized official Jared Ray, Director of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003310061

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Lake Behavioral Health, LLC.
Other name <Unavail>
Practice address 9100 Andermatt Drive Suite 1, Lincoln, NE, 68526
Fax (402) 434-3970
Enumeration date Mar 22, 2018
Last updated in NPPES Feb 24, 2020

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
333600000X Pharmacy Suppliers Secondary

Authorized official

Name Jared Ray
Title Director of Operations

Other identifiers

Identifier Type State Issuer
10026721200 Medicaid NE -
NA3283 Other NE MEDICARE PTAN
10026721201 Medicaid NE -
DY5949 Other NE RR MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Pine Lake Behavioral Health, LLC.?
Pine Lake Behavioral Health, LLC. is registered in NPPES as a Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-24.