Provider Demographics
NPI:1366504953
Name:TONNIGES, MELANIE KAY (MA LMHP CPC)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:KAY
Last Name:TONNIGES
Suffix:
Gender:F
Credentials:MA LMHP CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 VAN DORN ST
Mailing Address - Street 2:STE A
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506
Mailing Address - Country:US
Mailing Address - Phone:402-434-2550
Mailing Address - Fax:402-434-2358
Practice Address - Street 1:4701 VAN DORN ST
Practice Address - Street 2:STE A
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-434-2550
Practice Address - Fax:402-434-2358
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2300101YM0800X
NE1279101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84472OtherBLUE CROSS BLUE SHIELD
NE47067928413Medicaid
NE294496000OtherMAGELLAN
NE294496000OtherMAGELLAN