Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pine Lake Behavioral Health, LLC

Organization Clinic/Center · NPI 1003310061

Pine Lake Behavioral Health, LLC is a Clinic/Center in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2018.

Licensed in
NE
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9100 Andermatt Dr Ste 1
Lincoln, NE 68526-0000
Phone: (402) 434-2730
Fax: (402) 434-3970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (NE)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Pharmacy Taxonomy 333600000X

Record details

NPI number1003310061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Ray — Director Of Operations · (402) 434-2730
Other names Pine Lake Behavioral Health; Pine Lake Behavioral Health
NPI enumeratedMarch 22, 2018
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address9100 Andermatt Dr Ste 1, Lincoln, NE 68526-6700

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