Provider Demographics
NPI:1699708446
Name:ON SOLID GROUND, LLC
Entity type:Organization
Organization Name:ON SOLID GROUND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-324-0222
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68850-0129
Mailing Address - Country:US
Mailing Address - Phone:308-324-0222
Mailing Address - Fax:308-324-0225
Practice Address - Street 1:101 W 8TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-1920
Practice Address - Country:US
Practice Address - Phone:308-324-0222
Practice Address - Fax:308-324-0225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE454101YA0400X
NEP-397101YA0400X
NEP-688101YA0400X
NE2566101YM0800X
NE8155101YM0800X
NE106106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE416804OtherVALUOPTIONS-SHA
NE98379OtherBCBS AUXILIARY FOR STACEY
NE85489OtherBCBS # FOR STACEY HUNT-AM
85493OtherBCBS # FOR BARRANCO
NE10025338800Medicaid
232809OtherMIDLANDS CHOICE-SHA
NE98663OtherBCBS, AUX FOR BARRANCO
232809OtherMIDLANDS CHOICE-SHA
NE98379OtherBCBS AUXILIARY FOR STACEY