ST. MONICA'S
NPI 1629120191
Substance Abuse Rehabilitation Facility in Lincoln, NE

NPI Status: Active since January 17, 2007

Contact Information

120 WEDGEWOOD DR
LINCOLN, NE
ZIP 68510
Phone: (402) 441-3768
Fax: (402) 441-3770

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance
  • CLIA Number: 28D2183792
  • CLIA Cert. Type: Other - RESIDENTIAL TX FACILITY
  • CLIA Exp. Date: 05-10-2026

About ST. MONICA'S

This page provides the complete NPI Profile along with additional information for St. Monica's, a provider established in Lincoln, Nebraska operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1629120191 assigned on January 2007. The practitioner's primary taxonomy code is 324500000X with license number SATC102 (NE). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mary Barry-magsamen (Executive Director)

NPI
1629120191
Provider Name
ST. MONICA'S
Entity Type
Organization
Location Address
120 WEDGEWOOD DR LINCOLN, NE 68510
Location Phone
(402) 441-3768
Location Fax
(402) 441-3770
Mailing Address
120 WEDGEWOOD DR LINCOLN, NE 68510
Mailing Phone
(402) 441-3768
Mailing Fax
(402) 441-3770
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
SATC102
License State
NE
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

SATC024 (NE)
2324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

SATC077 (NE)
3324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

SATC063 (NE)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
  • HeartlandBlue Gold $0 Deductible NEtwork Blue - EPO
  • HeartlandBlue Gold $0 Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold Standard 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold Standard 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold Standard 1500 Premier Select BlueChoice - EPO
  • HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO
  • Elevate by Medica Bronze $0 Copay PCP Visits - EPO
  • Elevate by Medica Bronze Premier - EPO
  • Elevate by Medica Expanded Bronze Standard - EPO
  • Elevate by Medica Gold $0 Copay PCP Visits - EPO
  • Elevate by Medica Gold Share - EPO
  • Elevate by Medica Gold Standard - EPO
  • Elevate by Medica Silver $0 Copay PCP Visits - EPO
  • Elevate by Medica Silver Share - EPO
  • Elevate by Medica Silver Standard - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Medica with CHI Health Bronze $0 Copay PCP Visits - EPO
  • Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam - EPO
  • Bronze Classic - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY BARRY-MAGSAMEN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(402) 441-3767

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100253488-00MEDICAID (05)NE 
100252179-00MEDICAID (05)NE 
100253821-00MEDICAID (05)NE 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D2183792
Facility Type
Other - RESIDENTIAL TX FACILITY
Certificate Effective Date
May 11, 2024
Certificate Expiration Date
May 10, 2026
Laboratory Director
GAIL M. SEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Monica's to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ST. MONICA'S

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629120191
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649220118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 2 + 0 + 1 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1629120191 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922153402DR. ROSEMARY JANICE ESSEKS PH.D.
Individual
Psychologist (Clinical)120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 310-0819
1316122393ST. MONICA'S
Organization
Community/Behavioral Health120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3768
1073818811MS. ELIZABETH COADY LEEPER PLMHP
Individual
Counselor (Mental Health)120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3764
1639476328MS. ROBERTA W. CARTER LMHP
Individual
Counselor (Mental Health)120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 434-0982
1972800506 CYNTHIA JANE CORDOVA LADC
Individual
Counselor (Addiction (Substance Use Disorder))120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3756
1346547700MS. GAIL A MCCOY LADC
Individual
Counselor (Addiction (Substance Use Disorder))120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 434-0985
1417254616 CYNTHIA M. TRAINOR LIMHP, LADC, LCSW
Individual
Counselor (Mental Health)120 WEDGEWOOD DR ST. MONICAS
LINCOLN, NE 68510
(402) 434-2811
1194023903 MARCI ANN WELTON-JACSKON PLADC
Individual
Counselor (Addiction (Substance Use Disorder))120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 436-2521
1932408853MS. MICHELLE CHRISTINE MILLER L.C.S.W.
Individual
Social Worker (Clinical)120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3751
1467722348 ALISON KORTEFAY
Individual
Case Manager/Care Coordinator120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3768
1114349982MRS. DULCE CLARENCE PLMHP
Individual
Counselor (Mental Health)120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 413-0327
1275955809 LANA SHELDON PLADC
Individual
Counselor (Addiction (Substance Use Disorder))120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3768
1073985743MRS. NATALYA YOUNG PLADC
Individual
Counselor (Addiction (Substance Use Disorder))120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 437-8448
1467811067 ERIC JAMES HARMES M.A., PLMHP, PLADC
Individual
Counselor (Addiction (Substance Use Disorder))120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3768
1386182160 ELIZABETH CHALENBURG PLADC
Individual
Counselor (Addiction (Substance Use Disorder))120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3765
1386109627 KELSY BELGUM
Individual
Counselor (Addiction (Substance Use Disorder))120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3768
1952946030 AUDREY ANN GRAY APRN
Individual
Nurse Practitioner (Women's Health)120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3768
1962032904 ELIZABETH ANNE WEBER LMHP, CPC, LADC
Individual
Counselor (Mental Health)120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3768
1679108237 JAE JOB CPSS
Individual
Peer Specialist120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 434-2814
1972265239 MICHAELA ANN CANTU PLMHP, PCMSW
Individual
Social Worker (Clinical)120 WEDGEWOOD DR
LINCOLN, NE 68510
(402) 441-3768

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629120191, enumerated in the NPI registry as an "organization" on January 17, 2007

The provider is located at 120 Wedgewood Dr Lincoln, Ne 68510 and the phone number is (402) 441-3768

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 28D2183792 for a "other - residential tx facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.