Provider Demographics
NPI:1871666016
Name:ROHREN, BRENDA (LIMHP, LADC, BC-TMH)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:
Last Name:ROHREN
Suffix:
Gender:F
Credentials:LIMHP, LADC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7441 O ST STE 107
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2468
Mailing Address - Country:US
Mailing Address - Phone:402-486-1101
Mailing Address - Fax:402-486-4342
Practice Address - Street 1:7441 O ST STE 107
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2468
Practice Address - Country:US
Practice Address - Phone:402-486-1101
Practice Address - Fax:402-486-4342
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NELADC 561101YA0400X
NELMHP 1194101YM0800X
NELIMHP 176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026316000Medicaid
NE85234OtherBLUE CROSS / BLUE SHIELD
NE10026395300Medicaid
NE271526OtherMIDLANDS CHOICE
NE85234OtherBLUE CROSS / BLUE SHIELD