Provider Demographics
NPI:1134271844
Name:LAUFENBERG, MICHAELA ANN (LIMHP, LMHP, LPC)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:ANN
Last Name:LAUFENBERG
Suffix:
Gender:F
Credentials:LIMHP, LMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 S. 42ND ST
Mailing Address - Street 2:STE 514
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105
Mailing Address - Country:US
Mailing Address - Phone:402-515-5048
Mailing Address - Fax:
Practice Address - Street 1:1941 S. 42ND ST
Practice Address - Street 2:STE. 514
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105
Practice Address - Country:US
Practice Address - Phone:402-515-5048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2083101YM0800X
NE1194101YP2500X
NE676101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE084667OtherBLUE CROSS BLUE SHIELD
NE10025157400Medicaid
NE100253176-00Medicaid