Provider Demographics
NPI:1447797824
Name:CHRISMAN, WHITNEY JO (LIMHP, LADC, CPC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:JO
Last Name:CHRISMAN
Suffix:
Gender:F
Credentials:LIMHP, LADC, CPC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:JO
Other - Last Name:LAUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:264 PARKSIDE LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-2741
Mailing Address - Country:US
Mailing Address - Phone:402-641-5909
Mailing Address - Fax:
Practice Address - Street 1:4600 VALLEY RD STE 350
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4844
Practice Address - Country:US
Practice Address - Phone:402-474-0011
Practice Address - Fax:402-474-0012
Is Sole Proprietor?:No
Enumeration Date:2017-01-24
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1304101YA0400X
NE2889101YM0800X
NE11089101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor