Registered Service Providers for District: 11

Transcription

1 County: Arthur Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Page 1 of 446

2 County: Arthur Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 2 of 446

3 County: Arthur Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Page 3 of 446

4 County: Arthur Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Page 4 of 446

5 County: Arthur Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 5 of 446

6 County: Arthur Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Fountain, Melissa Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Page 6 of 446

7 County: Arthur Fuhr, Holly Gillespie, Dana Gingery, Nanette Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 7 of 446

8 County: Arthur Hatfield, Vicki Hays, Michael Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Hebbert, Pamela Mediation West P O Box 427 Scottsbluff NB (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference Bilingual Services; (308) Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Page 8 of 446

9 County: Arthur Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Page 9 of 446

10 County: Arthur Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Page 10 of 446

11 County: Arthur Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living (402) Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Kronhofman, Kelsey Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Page 11 of 446

12 County: Arthur Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Leonhardt, Kendra Nebraska Youth Center 2300 E. 2nd Street P.O.Box655 North Platte NB (308) (308) Out-Of-Home: Group Home A Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Page 12 of 446

13 County: Arthur Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Loomis, Kimberly Team Inc 22 W 27th St Suite 24 Scottsbluff NB (308) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment ; ; ; Juvenile Pre-Treatment Assessment (PTA); ; Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient- Eating Disorder; Assessment: Pre-Treatment Assessment (Medicaid) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 13 of 446

14 County: Arthur Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B Page 14 of 446

15 County: Arthur McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Page 15 of 446

16 County: Arthur Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Page 16 of 446

17 County: Arthur Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Page 17 of 446

18 County: Arthur Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 18 of 446

19 County: Arthur Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Page 19 of 446

20 County: Arthur Schulte, Heather Schultz, Otto Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sheriff, Matthew Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 20 of 446

21 County: Arthur Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Starman, Beverly Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Page 21 of 446

22 County: Arthur Steelman, Elaine Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Page 22 of 446

23 County: Arthur VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 23 of 446

24 County: Arthur Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Page 24 of 446

25 County: Arthur Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Chase Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 25 of 446

26 County: Chase Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Page 26 of 446

27 County: Chase Boardman, Kim Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; All Seasons Counseling Center 207 West 2nd McCook NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Page 27 of 446

28 County: Chase Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Page 28 of 446

29 County: Chase Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Page 29 of 446

30 County: Chase Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Evans, Nancy St Francis Community Services 1827 West A Street North Platte NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Transportation; Out-Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 30 of 446

31 County: Chase Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Fountain, Melissa Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Page 31 of 446

32 County: Chase Fuhr, Holly Gillespie, Dana Gingery, Nanette Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 32 of 446

33 County: Chase Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Heim, Shona Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre- Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 33 of 446

34 County: Chase Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 34 of 446

35 County: Chase Joe, Brian Better Living Counseling Services Inc 7100 South 29th Street Suite B Lincoln NB (402) Non-Treatment: Intensive Family Preservation Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Page 35 of 446

36 County: Chase Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 36 of 446

37 County: Chase Kronhofman, Kelsey Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Leonhardt, Kendra Nebraska Youth Center 2300 E. 2nd Street P.O.Box655 North Platte NB (308) (308) Out-Of-Home: Group Home A Leonhardt-Driggs, Kendra Family Skill Building Services, LLC 403 E C Street P.O.Box 655 North Platte NB (308) (308) Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Intensive Family Preservation; Non-Treatment: Supervised Visitation; Non-Treatment: General Education Class Page 37 of 446

38 County: Chase Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 38 of 446

39 County: Chase Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Page 39 of 446

40 County: Chase Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Page 40 of 446

41 County: Chase Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Page 41 of 446

42 County: Chase Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Page 42 of 446

43 County: Chase Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Page 43 of 446

44 County: Chase Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Page 44 of 446

45 County: Chase Schulte, Heather Schultz, Otto Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 45 of 446

46 County: Chase Sheriff, Matthew Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Page 46 of 446

47 County: Chase Sonneman, Jodi Central Plains Center for Services 908 South E Street Broken Bow NB (308) Out-Of-Home: Independent Living Starman, Beverly Steelman, Elaine Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Page 47 of 446

48 County: Chase Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT ; Assessment: Mental Status Exam (MSE) (801) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 48 of 446

49 County: Chase Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Page 49 of 446

50 County: Chase Yergler, Mike Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Dawson Page 50 of 446

51 County: Dawson Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Anderson, Rosie Lutheran Family Services of NE Inc 200 W 7th Ste 3 Lexington NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment ; ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Barranco, Fernando Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Four Roads Counseling LLC 513 N Grant St Ste 3A Lexington NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 51 of 446

52 County: Dawson Bilingual Services; Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Page 52 of 446

53 County: Dawson Bishop, Michael Boyd, Joyce Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; Counseling Professionals P. O. Box 918 Lexington NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment ; Juvenile Pre-Treatment Assessment (PTA); Juvenile Co-Occurring Evaluation (C/O); ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient- Eating Disorder; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Page 53 of 446

54 County: Dawson Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Page 54 of 446

55 County: Dawson Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Denton, Carole Prairie Counseling 207 N Pine St. Grand Island NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Page 55 of 446

56 County: Dawson Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 56 of 446

57 County: Dawson Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Fountain, Melissa Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Page 57 of 446

58 County: Dawson Fuhr, Holly Gillespie, Dana Gingery, Nanette Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Gustafson, Tammy LiveFree Counseling LLC 201 E 9th St, Suite 4 Cozad NB (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Assessment: Mental Status Exam (MSE) Page 58 of 446

59 County: Dawson Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hammerlun, Wendy Hascall, Bernie Hatfield, Vicki 121 W 9th St. Ste. C PO Box 341 Cozad NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non- Treatment: Family Support Worker; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Transportation Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Page 59 of 446

60 County: Dawson Hays, Michael Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Holen, Patricia University of Nebraska at Kearney th Avenue Kearney NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual Page 60 of 446

61 County: Dawson Horn, Rebecca Jackson, Jessica Expressive Arts Nebraska, LLC 1917 Avenue I Gothenburg NB (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Bilingual Services; Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Johnson (Aswegan), Betty Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) th Ave. kearney NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Page 61 of 446

62 County: Dawson Johnson, Christina Bilingual Services; Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Page 62 of 446

63 County: Dawson Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 63 of 446

64 County: Dawson Kloch, Susan Kloch Counseling, LLC 101 W 8th St Suite A Lexington NB (308) (866) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE) Kounovsky, Sonia Kroeker, Sandra Kronhofman, Kelsey Heartland Counseling 307 E 5th PO Box 519 Lexington NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual Bilingual Services; Sandra Hale Kroeker PC PO Box th ST Henderson NB (402) (402) Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient- Eating Disorder; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Page 64 of 446

65 County: Dawson Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lane, Jeannine Lange, Robyn McConaughy Discovery Center 401 N Spruce St Ogallala NB (308) (308) Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Non-Treatment: Family Partner; Contracted Services: Tracker Bilingual Services; Two Bridges Counseling 513 N Grant St Ste 3A Lexington NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Lawton, Lorna Lawton Counseling, LLC 101 West 8th St Suite A Lexington NB (308) (866) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy - Youth Who Sexually Harm Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Page 65 of 446

66 County: Dawson Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Leonhardt, Kendra Nebraska Youth Center 2300 E. 2nd Street P.O.Box655 North Platte NB (308) (308) Out-Of-Home: Group Home A Leonhardt-Driggs, Kendra Family Skill Building Services, LLC 403 E C Street P.O.Box 655 North Platte NB (308) (308) Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Intensive Family Preservation; Non-Treatment: Supervised Visitation; Non-Treatment: General Education Class Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Page 66 of 446

67 County: Dawson Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Page 67 of 446

68 County: Dawson Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Maxson, Thomas Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B Michael Burke & Associates, PC 3720 Avenue A Suite E Kearney NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner Page 68 of 446

69 County: Dawson McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McCurdy, Naomi Lutheran Family Services of NE Inc 200 W 7th Ste 3 Lexington NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Page 69 of 446

70 County: Dawson Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Page 70 of 446

71 County: Dawson Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Payne-Polson, Anna Mid-Plains Center for Behavioral Healthcare Inc Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting 124 W. 25th St. Kearney NB (308) Petersen, Brenda Non-Treatment: Tutoring; Non-Treatment: General Education Class 502 West 5th North Platte NB (308) Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Page 71 of 446

72 County: Dawson Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Page 72 of 446

73 County: Dawson Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schmidt, Krystyn Child Guidance Center 2444 O St Lincoln NB (402) Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Page 73 of 446

74 County: Dawson Schreiber, Mindy Schulte, Heather Schultz, Otto Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Page 74 of 446

75 County: Dawson Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sherbeck, Amy Sheriff, Matthew Shultz, Monty South Central Behavioral Services 616 W 5th St Hastings NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Out-Of-Home: Foster Care (Relative/Kinship) Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Wholeness Healing Center PC 2608 Oldfair Rd. Grand Island NB (308) (308) Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non- Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Page 75 of 446

76 County: Dawson Shultz, Monty Sickler, Jana Monty Shultz Counseling and th Ave Kearney NB (308) (308) NeuroFeedback Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring; Assessment: Home Assessment (Foster Care Relative/Kinship) Mid-Plains Center for Behavioral Healthcare Inc th Ave, Ste 38 Kearney NB (308) Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Page 76 of 446

77 County: Dawson Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Sonneman, Jodi Central Plains Center for Services 908 South E Street Broken Bow NB (308) Out-Of-Home: Independent Living Spencer, Jennifer Starman, Beverly Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment ; ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Co-Occurring Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Page 77 of 446

78 County: Dawson Steelman, Elaine Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Page 78 of 446

79 County: Dawson VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weiland, Tracy Lutheran Family Services of NE Inc 200 W 7th Ste 3 Lexington NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Mental Status Exam (MSE) Bilingual Services; Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 79 of 446

80 County: Dawson Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Page 80 of 446

81 County: Dawson Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Dundy Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 81 of 446

82 County: Dundy Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Page 82 of 446

83 County: Dundy Bishop, Michael Boardman, Kim Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; All Seasons Counseling Center 207 West 2nd McCook NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Page 83 of 446

84 County: Dundy Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Page 84 of 446

85 County: Dundy Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Page 85 of 446

86 County: Dundy Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Evans, Nancy St Francis Community Services 1827 West A Street North Platte NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Transportation; Out-Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 86 of 446

87 County: Dundy Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Page 87 of 446

88 County: Dundy Fountain, Melissa Fuhr, Holly Gillespie, Dana Gingery, Nanette Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 88 of 446

89 County: Dundy Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Heim, Shona Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre- Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Page 89 of 446

90 County: Dundy Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Page 90 of 446

91 County: Dundy Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Page 91 of 446

92 County: Dundy Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 92 of 446

93 County: Dundy Kronhofman, Kelsey Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Leonhardt-Driggs, Kendra Family Skill Building Services, LLC 403 E C Street P.O.Box 655 North Platte NB (308) (308) Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Intensive Family Preservation; Non-Treatment: Supervised Visitation; Non-Treatment: General Education Class Page 93 of 446

94 County: Dundy Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 94 of 446

95 County: Dundy Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B Page 95 of 446

96 County: Dundy McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Page 96 of 446

97 County: Dundy Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Page 97 of 446

98 County: Dundy Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Page 98 of 446

99 County: Dundy Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 99 of 446

100 County: Dundy Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Page 100 of 446

101 County: Dundy Schulte, Heather Schultz, Otto Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sheriff, Matthew Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 101 of 446

102 County: Dundy Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Sonneman, Jodi Central Plains Center for Services 908 South E Street Broken Bow NB (308) Out-Of-Home: Independent Living Starman, Beverly Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 102 of 446

103 County: Dundy ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Steelman, Elaine Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Page 103 of 446

104 County: Dundy Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Vath, Janet Wagner, Becky Family Ward Inc PO Box 591 Sutherland NB (308) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Page 104 of 446

105 County: Dundy Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Page 105 of 446

106 County: Dundy Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Frontier Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Page 106 of 446

107 County: Frontier Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Page 107 of 446

108 County: Frontier Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Boardman, Kim Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; All Seasons Counseling Center 207 West 2nd McCook NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 108 of 446

109 County: Frontier Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Page 109 of 446

110 County: Frontier Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Page 110 of 446

111 County: Frontier Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Evans, Nancy St Francis Community Services 1827 West A Street North Platte NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Transportation; Out-Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 111 of 446

112 County: Frontier Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Page 112 of 446

113 County: Frontier Fountain, Melissa Fuhr, Holly Gillespie, Dana Gingery, Nanette Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 113 of 446

114 County: Frontier Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 114 of 446

115 County: Frontier Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 115 of 446

116 County: Frontier Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Page 116 of 446

117 County: Frontier Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 117 of 446

118 County: Frontier Kroeker, Sandra Kronhofman, Kelsey Sandra Hale Kroeker PC PO Box th ST Henderson NB (402) (402) Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient- Eating Disorder; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Page 118 of 446

119 County: Frontier Leonhardt-Driggs, Kendra Family Skill Building Services, LLC 403 E C Street P.O.Box 655 North Platte NB (308) (308) Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Intensive Family Preservation; Non-Treatment: Supervised Visitation; Non-Treatment: General Education Class Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Page 119 of 446

120 County: Frontier Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Page 120 of 446

121 County: Frontier Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Page 121 of 446

122 County: Frontier McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Page 122 of 446

123 County: Frontier Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Petersen, Brenda Non-Treatment: Tutoring; Non-Treatment: General Education Class 502 West 5th North Platte NB (308) Page 123 of 446

124 County: Frontier Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Page 124 of 446

125 County: Frontier Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 125 of 446

126 County: Frontier Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Schulte, Heather Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 126 of 446

127 County: Frontier Schultz, Otto Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sherbeck, Amy Sheriff, Matthew South Central Behavioral Services 616 W 5th St Hastings NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Out-Of-Home: Foster Care (Relative/Kinship) Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 127 of 446

128 County: Frontier Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Sonneman, Jodi Central Plains Center for Services 908 South E Street Broken Bow NB (308) Out-Of-Home: Independent Living Starman, Beverly Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 128 of 446

129 County: Frontier ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Steelman, Elaine Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Page 129 of 446

130 County: Frontier Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 130 of 446

131 County: Frontier Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Page 131 of 446

132 County: Frontier Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Furnas Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 132 of 446

133 County: Furnas Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Baxter, Beth Region III Behavioral Health Services th Ave, Suite 65 Kearney NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Becher, Deborah Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Emergency Services Social Detox; Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Page 133 of 446

134 County: Furnas Benesch, Kevin Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Bennetts, Karla Families CARE th Ave. Suite 55 Kearney NB (308) (308) Non-Treatment: Family Partner Bishop, Michael Boardman, Kim Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; All Seasons Counseling Center 207 West 2nd McCook NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 134 of 446

135 County: Furnas Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Page 135 of 446

136 County: Furnas Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Crouse, Brian South Central Behavioral Services 616 W 5th St Hastings NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Bilingual Services; Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Denton, Carole Prairie Counseling 207 N Pine St. Grand Island NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Page 136 of 446

137 County: Furnas Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Page 137 of 446

138 County: Furnas Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Evans, Nancy St Francis Community Services 1827 West A Street North Platte NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Transportation; Out-Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Page 138 of 446

139 County: Furnas Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Fountain, Melissa Fuhr, Holly Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Page 139 of 446

140 County: Furnas Gillespie, Dana Gingery, Nanette Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 140 of 446

141 County: Furnas Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Page 141 of 446

142 County: Furnas Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Page 142 of 446

143 County: Furnas Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 143 of 446

144 County: Furnas Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Klein, Candance Kronhofman, Kelsey Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring CK Counseling 311 West Avenue, Suite B Holdrege NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Page 144 of 446

145 County: Furnas Lane, Jeannine McConaughy Discovery Center 401 N Spruce St Ogallala NB (308) (308) Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Non-Treatment: Family Partner; Contracted Services: Tracker Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Leonhardt, Kendra Nebraska Youth Center 2300 E. 2nd Street P.O.Box655 North Platte NB (308) (308) Out-Of-Home: Group Home A Leonhardt-Driggs, Kendra Family Skill Building Services, LLC 403 E C Street P.O.Box 655 North Platte NB (308) (308) Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Intensive Family Preservation; Non-Treatment: Supervised Visitation; Non-Treatment: General Education Class Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Page 145 of 446

146 County: Furnas Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Page 146 of 446

147 County: Furnas Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B Page 147 of 446

148 County: Furnas McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McCurdy, Naomi Lutheran Family Services of NE Inc 200 W 7th Ste 3 Lexington NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Page 148 of 446

149 County: Furnas Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Page 149 of 446

150 County: Furnas Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Page 150 of 446

151 County: Furnas Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Riva, Christina Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 2431 Jones Bend Rd. Louisville TN Four Mile Parkway Canon City CO (865) (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 151 of 446

152 County: Furnas Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Schulte, Heather Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 152 of 446

153 County: Furnas Schultz, Otto Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sherbeck, Amy Sheriff, Matthew South Central Behavioral Services 616 W 5th St Hastings NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Out-Of-Home: Foster Care (Relative/Kinship) Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Page 153 of 446

154 County: Furnas Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Sonneman, Jodi Central Plains Center for Services 908 South E Street Broken Bow NB (308) Out-Of-Home: Independent Living Starman, Beverly Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Page 154 of 446

155 County: Furnas Steelman, Elaine Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Page 155 of 446

156 County: Furnas VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 156 of 446

157 County: Furnas Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Page 157 of 446

158 County: Furnas Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Gosper Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 158 of 446

159 County: Gosper Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Page 159 of 446

160 County: Gosper Boardman, Kim Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; All Seasons Counseling Center 207 West 2nd McCook NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Page 160 of 446

161 County: Gosper Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Page 161 of 446

162 County: Gosper Crouse, Brian South Central Behavioral Services 616 W 5th St Hastings NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Bilingual Services; Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Denton, Carole Prairie Counseling 207 N Pine St. Grand Island NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) Page 162 of 446

163 County: Gosper DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Page 163 of 446

164 County: Gosper Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Evans, Nancy St Francis Community Services 1827 West A Street North Platte NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Transportation; Out-Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Page 164 of 446

165 County: Gosper Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Fountain, Melissa Fuhr, Holly Gillespie, Dana Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Page 165 of 446

166 County: Gosper Gingery, Nanette Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Page 166 of 446

167 County: Gosper Hays, Michael Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 167 of 446

168 County: Gosper Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Page 168 of 446

169 County: Gosper Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Page 169 of 446

170 County: Gosper Kirby, Randy Kronhofman, Kelsey Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lane, Jeannine McConaughy Discovery Center 401 N Spruce St Ogallala NB (308) (308) Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Non-Treatment: Family Partner; Contracted Services: Tracker Bilingual Services; Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Page 170 of 446

171 County: Gosper Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 171 of 446

172 County: Gosper Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Page 172 of 446

173 County: Gosper Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McCurdy, Naomi Lutheran Family Services of NE Inc 200 W 7th Ste 3 Lexington NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Page 173 of 446

174 County: Gosper McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Page 174 of 446

175 County: Gosper Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Page 175 of 446

176 County: Gosper Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Page 176 of 446

177 County: Gosper Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Page 177 of 446

178 County: Gosper Schulte, Heather Schultz, Otto Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 178 of 446

179 County: Gosper Sherbeck, Amy Sheriff, Matthew South Central Behavioral Services 616 W 5th St Hastings NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Out-Of-Home: Foster Care (Relative/Kinship) Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Page 179 of 446

180 County: Gosper Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Starman, Beverly Steelman, Elaine Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Page 180 of 446

181 County: Gosper Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT ; Assessment: Mental Status Exam (MSE) (801) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 181 of 446

182 County: Gosper Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Page 182 of 446

183 County: Gosper Yergler, Mike Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Hayes Page 183 of 446

184 County: Hayes Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Page 184 of 446

185 County: Hayes Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Bishop, Michael Boardman, Kim Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; All Seasons Counseling Center 207 West 2nd McCook NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 185 of 446

186 County: Hayes Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Page 186 of 446

187 County: Hayes Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Page 187 of 446

188 County: Hayes Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Evans, Nancy St Francis Community Services 1827 West A Street North Platte NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Transportation; Out-Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 188 of 446

189 County: Hayes Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Page 189 of 446

190 County: Hayes Fountain, Melissa Fuhr, Holly Gillespie, Dana Gingery, Nanette Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 190 of 446

191 County: Hayes Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Heim, Shona Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre- Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Page 191 of 446

192 County: Hayes Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Page 192 of 446

193 County: Hayes Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Page 193 of 446

194 County: Hayes Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 194 of 446

195 County: Hayes Kronhofman, Kelsey Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Leonhardt, Kendra Nebraska Youth Center 2300 E. 2nd Street P.O.Box655 North Platte NB (308) (308) Out-Of-Home: Group Home A Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Page 195 of 446

196 County: Hayes Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Page 196 of 446

197 County: Hayes Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B Page 197 of 446

198 County: Hayes McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Page 198 of 446

199 County: Hayes Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Page 199 of 446

200 County: Hayes Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Page 200 of 446

201 County: Hayes Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 201 of 446

202 County: Hayes Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Page 202 of 446

203 County: Hayes Schulte, Heather Schultz, Otto Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sheriff, Matthew Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 203 of 446

204 County: Hayes Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Sonneman, Jodi Central Plains Center for Services 908 South E Street Broken Bow NB (308) Out-Of-Home: Independent Living Starman, Beverly Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 204 of 446

205 County: Hayes ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Steelman, Elaine Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Page 205 of 446

206 County: Hayes Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Vath, Janet Wagner, Becky Family Ward Inc PO Box 591 Sutherland NB (308) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Page 206 of 446

207 County: Hayes Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Page 207 of 446

208 County: Hayes Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Hitchcock Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Page 208 of 446

209 County: Hitchcock Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Page 209 of 446

210 County: Hitchcock Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Boardman, Kim Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; All Seasons Counseling Center 207 West 2nd McCook NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 210 of 446

211 County: Hitchcock Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Page 211 of 446

212 County: Hitchcock Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Page 212 of 446

213 County: Hitchcock Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Evans, Nancy St Francis Community Services 1827 West A Street North Platte NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Transportation; Out-Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 213 of 446

214 County: Hitchcock Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Page 214 of 446

215 County: Hitchcock Fountain, Melissa Fuhr, Holly Gillespie, Dana Gingery, Nanette Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 215 of 446

216 County: Hitchcock Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Heim, Shona Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre- Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Page 216 of 446

217 County: Hitchcock Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Page 217 of 446

218 County: Hitchcock Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Page 218 of 446

219 County: Hitchcock Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 219 of 446

220 County: Hitchcock Kronhofman, Kelsey Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Leonhardt, Kendra Nebraska Youth Center 2300 E. 2nd Street P.O.Box655 North Platte NB (308) (308) Out-Of-Home: Group Home A Leonhardt-Driggs, Kendra Family Skill Building Services, LLC 403 E C Street P.O.Box 655 North Platte NB (308) (308) Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Intensive Family Preservation; Non-Treatment: Supervised Visitation; Non-Treatment: General Education Class Page 220 of 446

221 County: Hitchcock Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 221 of 446

222 County: Hitchcock Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Page 222 of 446

223 County: Hitchcock Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Page 223 of 446

224 County: Hitchcock Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Page 224 of 446

225 County: Hitchcock Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Page 225 of 446

226 County: Hitchcock Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Page 226 of 446

227 County: Hitchcock Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Page 227 of 446

228 County: Hitchcock Schulte, Heather Schultz, Otto Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 228 of 446

229 County: Hitchcock Sherbeck, Amy Sheriff, Matthew South Central Behavioral Services 616 W 5th St Hastings NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Out-Of-Home: Foster Care (Relative/Kinship) Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Page 229 of 446

230 County: Hitchcock Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Starman, Beverly Steelman, Elaine Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Page 230 of 446

231 County: Hitchcock Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT ; Assessment: Mental Status Exam (MSE) (801) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Vath, Janet Family Ward Inc PO Box 591 Sutherland NB (308) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Page 231 of 446

232 County: Hitchcock Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) Page 232 of 446

233 County: Hitchcock XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Page 233 of 446

234 County: Hitchcock Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Hooker Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Page 234 of 446

235 County: Hooker Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; Page 235 of 446

236 County: Hooker Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Page 236 of 446

237 County: Hooker Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Page 237 of 446

238 County: Hooker Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Page 238 of 446

239 County: Hooker Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Page 239 of 446

240 County: Hooker Fountain, Melissa Fuhr, Holly Gillespie, Dana Gingery, Nanette Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 240 of 446

241 County: Hooker Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Hays, Michael Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Hebbert, Pamela Mediation West P O Box 427 Scottsbluff NB (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference Bilingual Services; (308) Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 241 of 446

242 County: Hooker Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 242 of 446

243 County: Hooker Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Page 243 of 446

244 County: Hooker Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 244 of 446

245 County: Hooker Kronhofman, Kelsey Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Page 245 of 446

246 County: Hooker Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Loomis, Kimberly Team Inc 22 W 27th St Suite 24 Scottsbluff NB (308) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment ; ; ; Juvenile Pre-Treatment Assessment (PTA); ; Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient- Eating Disorder; Assessment: Pre-Treatment Assessment (Medicaid) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 246 of 446

247 County: Hooker Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B Page 247 of 446

248 County: Hooker McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Page 248 of 446

249 County: Hooker Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Page 249 of 446

250 County: Hooker Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Page 250 of 446

251 County: Hooker Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 251 of 446

252 County: Hooker Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Page 252 of 446

253 County: Hooker Schulte, Heather Schultz, Otto Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sheriff, Matthew Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 253 of 446

254 County: Hooker Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Starman, Beverly Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Page 254 of 446

255 County: Hooker Steelman, Elaine Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Page 255 of 446

256 County: Hooker VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 256 of 446

257 County: Hooker Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Page 257 of 446

258 County: Hooker Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Keith Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 258 of 446

259 County: Keith Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Page 259 of 446

260 County: Keith Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Page 260 of 446

261 County: Keith Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) Page 261 of 446

262 County: Keith DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Page 262 of 446

263 County: Keith Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Evans, Nancy St Francis Community Services 1827 West A Street North Platte NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Transportation; Out-Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Page 263 of 446

264 County: Keith Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Fountain, Melissa Frates-McMahon, Beverly Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Ogallala Counseling PC 103 East 10th St Ogallala NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Page 264 of 446

265 County: Keith Fuhr, Holly George, Elisabeth Gillespie, Dana Gingery, Nanette Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Bridging the Gap PO Box 552 Sidney NB (308) Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Intensive Family Preservation; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Page 265 of 446

266 County: Keith Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Hays, Michael Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Hebbert, Pamela Mediation West P O Box 427 Scottsbluff NB (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference Bilingual Services; (308) Page 266 of 446

267 County: Keith Heim, Shona Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre- Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hill, Jenee Heartland Counseling 110 N Bailey PO Box 1209 North Platte NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy - Co-occurring Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Page 267 of 446

268 County: Keith Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Page 268 of 446

269 County: Keith Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 269 of 446

270 County: Keith Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Kronhofman, Kelsey Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lane, Jeannine McConaughy Discovery Center 401 N Spruce St Ogallala NB (308) (308) Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Non-Treatment: Family Partner; Contracted Services: Tracker Bilingual Services; Page 270 of 446

271 County: Keith Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Leonhardt, Kendra Nebraska Youth Center 2300 E. 2nd Street P.O.Box655 North Platte NB (308) (308) Out-Of-Home: Group Home A Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Page 271 of 446

272 County: Keith Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Page 272 of 446

273 County: Keith Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) Page 273 of 446

274 County: Keith McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Page 274 of 446

275 County: Keith Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pendleton, Richard Region II- Human Services 401 West 1st Ogallala NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 275 of 446

276 County: Keith Petersen, Brenda Non-Treatment: Tutoring; Non-Treatment: General Education Class 502 West 5th North Platte NB (308) Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Page 276 of 446

277 County: Keith Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Roberts, Marlo Ogallala Counseling PC 103 East 10th St Ogallala NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Page 277 of 446

278 County: Keith Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schmitz, Rae Ann st Ave Scottsbluff NB Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference (308) Schreiber, Mindy Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Page 278 of 446

279 County: Keith Schulte, Heather Schultz, Otto Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 279 of 446

280 County: Keith Sheriff, Matthew Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Page 280 of 446

281 County: Keith Sonneman, Jodi Central Plains Center for Services 908 South E Street Broken Bow NB (308) Out-Of-Home: Independent Living Starman, Beverly Steelman, Elaine Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Page 281 of 446

282 County: Keith Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT ; Assessment: Mental Status Exam (MSE) (801) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Vath, Janet Family Ward Inc PO Box 591 Sutherland NB (308) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Page 282 of 446

283 County: Keith Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) Page 283 of 446

284 County: Keith XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Page 284 of 446

285 County: Keith Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Lincoln Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Page 285 of 446

286 County: Lincoln Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; Page 286 of 446

287 County: Lincoln Bogus, Brandy Counseling Center 425 N. Oak North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bourge, Walda 306 E 6th St Suite 2 North Platte NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Bush, Buffy Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Nebraska Urban Indian Health Inc 2240 Landon Court Omaha NB (402) (402) Adult Emergency Services Social Detox; Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual Page 287 of 446

288 County: Lincoln Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Carville, Misty Chambers, Gayla Creek Counseling 1305 S Willow St North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Page 288 of 446

289 County: Lincoln Charlton, Sonya Charnley, Ian Cleveland, Sharley 306 East 6th St. Suite 2 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Child Guidance Center 2444 O St Lincoln NB (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment New Beginnings Therapy Associates 308 W 4th St North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Page 289 of 446

290 County: Lincoln Conley, Carrie Catholic Charities M St Omaha NB (402) Out-Of-Home: Independent Living Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Creek, Kalana (Shirley) Creek Counseling 1305 S Willow St North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Page 290 of 446

291 County: Lincoln Denton, Carole Prairie Counseling 207 N Pine St. Grand Island NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Page 291 of 446

292 County: Lincoln Duncan, Nate Eickhoff, Moriah Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment K & M Counseling, LLC 402 S Jeffers St North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 292 of 446

293 County: Lincoln Farrell, Delina Feldman, Theresa Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class New Beginnings Therapy Associates 308 W 4th St North Platte NB (308) (308) Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Page 293 of 446

294 County: Lincoln Fountain, Melissa Frates-McMahon, Beverly Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Ogallala Counseling PC 103 East 10th St Ogallala NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Fuhr, Holly George, Elisabeth Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Bridging the Gap PO Box 552 Sidney NB (308) Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Intensive Family Preservation; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Page 294 of 446

295 County: Lincoln Gillespie, Dana Gingery, Nanette Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Guethlein, John S. 209 McNeel Lane North Platte NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE) Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 295 of 446

296 County: Lincoln Hardy, Angela Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 296 of 446

297 County: Lincoln Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hill, Jenee Heartland Counseling 110 N Bailey PO Box 1209 North Platte NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy - Co-occurring Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Horn, Rebecca Huebner, Susanne Expressive Arts Nebraska, LLC 1917 Avenue I Gothenburg NB (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Bilingual Services; Lutheran Family Services of NE Inc 120 East 12th St. North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment Page 297 of 446

298 County: Lincoln Hunt, Mark Jackson, Jessica Heartland Counseling 110 N Bailey PO Box 1209 North Platte NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Page 298 of 446

299 County: Lincoln Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Page 299 of 446

300 County: Lincoln Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living (402) Kaufman, Helen Keck, Gary Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Keck Counseling 4918 Merrick Ave Grand Island NB (308) (308) Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kimzey Jr, LLoyd Behavioral Medicine Associates LLC 306 W 4th St North Platte NB (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation (308) Page 300 of 446

301 County: Lincoln Kirby, Randy Kounovsky, Sonia Kroeker, Sandra Kronhofman, Kelsey Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Heartland Counseling 307 E 5th PO Box 519 Lexington NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual Bilingual Services; Sandra Hale Kroeker PC PO Box th ST Henderson NB (402) (402) Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient- Eating Disorder; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Page 301 of 446

302 County: Lincoln Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Landfried, Spring Lane, Jeannine Lange, Robyn New Beginnings Therapy Associates 308 W 4th St North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment McConaughy Discovery Center 401 N Spruce St Ogallala NB (308) (308) Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Non-Treatment: Family Partner; Contracted Services: Tracker Bilingual Services; Two Bridges Counseling 513 N Grant St Ste 3A Lexington NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 302 of 446

303 County: Lincoln Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Leonhardt, Kendra Nebraska Youth Center 2300 E. 2nd Street P.O.Box655 North Platte NB (308) (308) Out-Of-Home: Group Home A Leonhardt-Driggs, Kendra Family Skill Building Services, LLC 403 E C Street P.O.Box 655 North Platte NB (308) (308) Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Intensive Family Preservation; Non-Treatment: Supervised Visitation; Non-Treatment: General Education Class Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Page 303 of 446

304 County: Lincoln Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Lund, Dave 108 East 2nd Street North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 304 of 446

305 County: Lincoln Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B Page 305 of 446

306 County: Lincoln McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Page 306 of 446

307 County: Lincoln Morse, Stephaine Platte Valley Counseling, LLC 306 East 6th Street, Suite 2 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Nichols, Angel Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Lutheran Family Services of NE Inc 120 East 12th St. North Platte NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Page 307 of 446

308 County: Lincoln Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pendleton, Richard Region II- Human Services 401 West 1st Ogallala NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 308 of 446

309 County: Lincoln Petersen, Brenda Non-Treatment: Tutoring; Non-Treatment: General Education Class 502 West 5th North Platte NB (308) Phillips, Jerri Pickel, Katy Counseling Center 421 N Oak North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non- Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Juvenile Pre-Treatment Assessment (PTA); Juvenile Co-Occurring Evaluation (C/O); ; Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Hearing Impaired; Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Page 309 of 446

310 County: Lincoln Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Page 310 of 446

311 County: Lincoln Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Roberts, Marlo Ogallala Counseling PC 103 East 10th St Ogallala NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Page 311 of 446

312 County: Lincoln Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Santi, Ryan Woodward Academy th St. Woodward IA (515) (515) Out-Of-Home: Group Home A Bilingual Services; Schmidt, Krystyn Schmidt, Krystyn Schreiber, Mindy Child Guidance Center 2444 O St Lincoln NB (402) Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre- Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co- Occurring Touchstone 2633 P St Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Residential Services Short Term Residential Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Page 312 of 446

313 County: Lincoln Schulte, Heather Schultz, Otto Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 313 of 446

314 County: Lincoln Sherbeck, Amy Sheriff, Matthew Shimmin, Jeanie South Central Behavioral Services 616 W 5th St Hastings NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Out-Of-Home: Foster Care (Relative/Kinship) Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Lutheran Family Services of NE Inc 120 East 12th St. North Platte NB (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Page 314 of 446

315 County: Lincoln Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Sonneman, Jodi Central Plains Center for Services 908 South E Street Broken Bow NB (308) Out-Of-Home: Independent Living Spencer, Jennifer Stark, Cassi Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment ; ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Co-Occurring CS Counseling, LLC 109 E 2nd Suite 10 North Platte NB (308) (308) Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Community Treatment Aide; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Page 315 of 446

316 County: Lincoln Starman, Beverly Steelman, Elaine Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Striebel, John 306 East 6th Street, Suite 2 North Platte NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Page 316 of 446

317 County: Lincoln Sukup (Fisher), Jennifer St Francis Community Services 1827 West A Street North Platte NB (308) Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Assessment: Juvenile Who Sexually Harm Risk Assessment Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT ; Assessment: Mental Status Exam (MSE) (801) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Page 317 of 446

318 County: Lincoln Vath, Janet Wagner, Becky Wall, Heather Weber, Kristi Family Ward Inc PO Box 591 Sutherland NB (308) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Lutheran Family Services of NE Inc Q St Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre- Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Weber Behavioral Health 521 2nd St Hampton NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Medication Management Page 318 of 446

319 County: Lincoln Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Page 319 of 446

320 County: Lincoln Yergler, Mike Young, Sandra Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Lutheran Family Services of NE Inc 120 East 12th St. North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Page 320 of 446

321 County: Lincoln Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Logan Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Page 321 of 446

322 County: Logan Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; Page 322 of 446

323 County: Logan Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Page 323 of 446

324 County: Logan Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Page 324 of 446

325 County: Logan Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Page 325 of 446

326 County: Logan Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Page 326 of 446

327 County: Logan Fountain, Melissa Fuhr, Holly Gillespie, Dana Gingery, Nanette Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 327 of 446

328 County: Logan Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 328 of 446

329 County: Logan Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 329 of 446

330 County: Logan Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Page 330 of 446

331 County: Logan Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 331 of 446

332 County: Logan Kronhofman, Kelsey Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Page 332 of 446

333 County: Logan Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Loomis, Kimberly Team Inc 22 W 27th St Suite 24 Scottsbluff NB (308) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment ; ; ; Juvenile Pre-Treatment Assessment (PTA); ; Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient- Eating Disorder; Assessment: Pre-Treatment Assessment (Medicaid) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 333 of 446

334 County: Logan Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B Page 334 of 446

335 County: Logan McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Page 335 of 446

336 County: Logan Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Page 336 of 446

337 County: Logan Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Petersen, Brenda Non-Treatment: Tutoring; Non-Treatment: General Education Class 502 West 5th North Platte NB (308) Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Page 337 of 446

338 County: Logan Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Page 338 of 446

339 County: Logan Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Page 339 of 446

340 County: Logan Schulte, Heather Schultz, Otto Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 340 of 446

341 County: Logan Sheriff, Matthew Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Page 341 of 446

342 County: Logan Starman, Beverly Steelman, Elaine Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Page 342 of 446

343 County: Logan Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Page 343 of 446

344 County: Logan Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Page 344 of 446

345 County: Logan Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: McPherson Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Page 345 of 446

346 County: McPherson Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Page 346 of 446

347 County: McPherson Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Bishop, Michael Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Page 347 of 446

348 County: McPherson Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Page 348 of 446

349 County: McPherson Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Page 349 of 446

350 County: McPherson Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Page 350 of 446

351 County: McPherson Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Fountain, Melissa Fuhr, Holly Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Page 351 of 446

352 County: McPherson Gillespie, Dana Gingery, Nanette Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 352 of 446

353 County: McPherson Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Page 353 of 446

354 County: McPherson Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Page 354 of 446

355 County: McPherson Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 355 of 446

356 County: McPherson Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Kronhofman, Kelsey Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Page 356 of 446

357 County: McPherson Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Loomis, Kimberly Team Inc 22 W 27th St Suite 24 Scottsbluff NB (308) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment ; ; ; Juvenile Pre-Treatment Assessment (PTA); ; Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Page 357 of 446

358 County: McPherson Health; Outpatient Therapy - Eating Disorder; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient- Eating Disorder; Assessment: Pre-Treatment Assessment (Medicaid) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Page 358 of 446

359 County: McPherson Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) Page 359 of 446

360 County: McPherson McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Page 360 of 446

361 County: McPherson Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Page 361 of 446

362 County: McPherson Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Page 362 of 446

363 County: McPherson Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Page 363 of 446

364 County: McPherson Schreiber, Mindy Schulte, Heather Schultz, Otto Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Page 364 of 446

365 County: McPherson Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sheriff, Matthew Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Page 365 of 446

366 County: McPherson Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Starman, Beverly Steelman, Elaine Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Page 366 of 446

367 County: McPherson Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT ; Assessment: Mental Status Exam (MSE) (801) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 367 of 446

368 County: McPherson Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Page 368 of 446

369 County: McPherson Yergler, Mike Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Perkins Page 369 of 446

370 County: Perkins Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Page 370 of 446

371 County: Perkins Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 371 of 446

372 County: Perkins Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Page 372 of 446

373 County: Perkins Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Page 373 of 446

374 County: Perkins Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Page 374 of 446

375 County: Perkins Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Fountain, Melissa Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Page 375 of 446

376 County: Perkins Fuhr, Holly Gillespie, Dana Gingery, Nanette Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 376 of 446

377 County: Perkins Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Heim, Shona Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre- Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 377 of 446

378 County: Perkins Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 378 of 446

379 County: Perkins Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Page 379 of 446

380 County: Perkins Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 380 of 446

381 County: Perkins Kronhofman, Kelsey Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Page 381 of 446

382 County: Perkins Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Page 382 of 446

383 County: Perkins Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) Page 383 of 446

384 County: Perkins McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Page 384 of 446

385 County: Perkins Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Page 385 of 446

386 County: Perkins Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Page 386 of 446

387 County: Perkins Reffalt Herarra, Jessica Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Riva, Christina Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Page 387 of 446

388 County: Perkins Schreiber, Mindy Schulte, Heather Schultz, Otto Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Page 388 of 446

389 County: Perkins Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sheriff, Matthew Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Page 389 of 446

390 County: Perkins Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Sonneman, Jodi Central Plains Center for Services 908 South E Street Broken Bow NB (308) Out-Of-Home: Independent Living Starman, Beverly Steelman, Elaine Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Page 390 of 446

391 County: Perkins Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Vath, Janet Family Ward Inc PO Box 591 Sutherland NB (308) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non- Treatment: Anger Management Class; Non-Treatment: General Education Class Page 391 of 446

392 County: Perkins Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) Page 392 of 446

393 County: Perkins XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Page 393 of 446

394 County: Perkins Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Red Willow Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Page 394 of 446

395 County: Red Willow Bates, Gregory NE Department of Corrections-Lincoln PO Box 2500 Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Therapeutic Community Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Berry, Cora Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cora S. Berry, PC 812 W 13th McCook NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non- Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 395 of 446

396 County: Red Willow Bishop, Michael Boardman, Kim Boyd, Joyce Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; All Seasons Counseling Center 207 West 2nd McCook NB (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual Counseling Professionals P. O. Box 918 Lexington NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment ; Juvenile Pre-Treatment Assessment (PTA); Juvenile Co-Occurring Evaluation (C/O); ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient- Eating Disorder; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Page 396 of 446

397 County: Red Willow Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Burkert, Stacey Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class NE Dept of Corrections-WEC PO Box 1150 McCook NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Page 397 of 446

398 County: Red Willow Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) Page 398 of 446

399 County: Red Willow DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Page 399 of 446

400 County: Red Willow Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Euhus, Diana Evans, Nancy Heartland Counseling 1012 W 3rd PO Box 818 McCook NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual Bilingual Services; St Francis Community Services 1827 West A Street North Platte NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Transportation; Out-Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Farrell, Delina Family Ward Inc PO BOX 63 Bayard NB (620) (888) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Tutoring; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Page 400 of 446

401 County: Red Willow Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Fountain, Melissa Fuhr, Holly Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Page 401 of 446

402 County: Red Willow Gillespie, Dana Gingery, Nanette Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 402 of 446

403 County: Red Willow Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Heim, Shona Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre- Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Page 403 of 446

404 County: Red Willow Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Horn, Rebecca Jackson, Jessica Expressive Arts Nebraska, LLC 1917 Avenue I Gothenburg NB (308) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Bilingual Services; Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 404 of 446

405 County: Red Willow Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Page 405 of 446

406 County: Red Willow Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 406 of 446

407 County: Red Willow Kronhofman, Kelsey Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Leonhardt, Kendra Nebraska Youth Center 2300 E. 2nd Street P.O.Box655 North Platte NB (308) (308) Out-Of-Home: Group Home A Leonhardt-Driggs, Kendra Family Skill Building Services, LLC 403 E C Street P.O.Box 655 North Platte NB (308) (308) Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Non-Treatment: Intensive Family Preservation; Non-Treatment: Supervised Visitation; Non-Treatment: General Education Class Page 407 of 446

408 County: Red Willow Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 408 of 446

409 County: Red Willow Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Page 409 of 446

410 County: Red Willow Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Page 410 of 446

411 County: Red Willow Micek, Hilary Molcyk, Joy CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Heartland Counseling PO Box 818 McCook NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Individual; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Individual Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Page 411 of 446

412 County: Red Willow Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Petersen, Brenda Non-Treatment: Tutoring; Non-Treatment: General Education Class 502 West 5th North Platte NB (308) Page 412 of 446

413 County: Red Willow Phillips, Jerri Pickel, Katy Counseling Center 421 N Oak North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non- Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Juvenile Pre-Treatment Assessment (PTA); Juvenile Co-Occurring Evaluation (C/O); ; Non-Treatment: Family Support Worker; Non-Treatment: Tracker (Except Douglas County); Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Hearing Impaired; Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Page 413 of 446

414 County: Red Willow Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Riva, Christina Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 2431 Jones Bend Rd. Louisville TN Four Mile Parkway Canon City CO (865) (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 414 of 446

415 County: Red Willow Ruf, Brenda Lutheran Family Services of NE Inc 802 W B Suite 105 McCook NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schmidt, Krystyn Child Guidance Center 2444 O St Lincoln NB (402) Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre- Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co- Occurring Page 415 of 446

416 County: Red Willow Schreiber, Mindy Schulte, Heather Schultz, Otto Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Page 416 of 446

417 County: Red Willow Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sherbeck, Amy Sheriff, Matthew South Central Behavioral Services 616 W 5th St Hastings NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Out-Of-Home: Foster Care (Relative/Kinship) Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Page 417 of 446

418 County: Red Willow Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Sonneman, Jodi Central Plains Center for Services 908 South E Street Broken Bow NB (308) Out-Of-Home: Independent Living Starman, Beverly Steelman, Elaine Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Page 418 of 446

419 County: Red Willow Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Page 419 of 446

420 County: Red Willow Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Wiemers, Rebecca Unified Therapy Clinic PC PO Box W 1st St McCook NB (308) Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health (308) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 420 of 446

421 County: Red Willow Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Page 421 of 446

422 County: Red Willow Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; County: Thomas Abel, Mindy Lincoln Regional Center Folsom & West Prospector, BLD 14 Lincoln NB (402) (402) Assessment: Juvenile Who Sexually Harm Risk Assessment Asher, Jo Lakeland Behavioral Health System 2323 W. Grand Springfield MO (417) (417) Barnes, Connie Behavioral Health Specialist/Seekers of 900 W Norfolk Ave Norfolk NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Page 422 of 446

423 County: Thomas Barry, Terri Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) Non-Treatment: Transportation Bauer, Bonnie Region II- Human Services 401 West 1st Ogallala NB (308) (308) Non-Treatment: Professional Partner Baumgartner, Eric New Hope Carolinas 101 Sedgewood Drive Rock Hill SC (843) (843) Hearing Impaired; Bilingual Services; Bazemore, John Mark of Honor Youth Lodge 1100 Military Rd Lincoln NB (402) (402) Out-Of-Home: Group Home A Benesch, Kevin Bishop, Michael Child Guidance Center 2444 O St Lincoln NB (402) (402) Outpatient Therapy - Youth Who Sexually Harm; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment Cathedral Home for Children 4989 North 3rd st Laramie WY (307) (307) Non-Treatment: Supervised Visitation; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Non-Treatment: Alternative School; Day Treatment Day Treatment-Mental Health; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Page 423 of 446

424 County: Thomas Youth Who Sexually Harm Treatment; Professional Resource Family Care; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring Hearing Impaired; Boyes, Kathleen Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Browning-Prince, Crystal Serenity Matters 2505 N 24th ST Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Anger Management Class Callister, Catherine St Joseph's Children's Home PO Box 1117 Torrington WY (307) Chambers, Gayla Prevention Nebraska 4801 South 72 Street Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment Non-Treatment: Family Support Worker; Non-Treatment: Intensive Family Preservation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Bilingual Services; Page 424 of 446

425 County: Thomas Chandler, Troy Central Plains Center for Services Out-Of-Home: Independent Living; Non-Treatment: Mentoring 4343 North 52nd Street Omaha NB (308) Coleman, Samantha Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment (719) Coomes, Amie Omaha Home for Boys 4343 N 52nd St Omaha NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Tutoring; Non-Treatment: Case Managed Tutoring; Out-Of-Home: Group Home B Cronican, John Autism Center of Nebraska inc 9012 'Q' Street Omaha NB (402) (402) Out-Of-Home: Foster Care ( Supported) Culpepper, Marie Rite of Passage, Inc. (Corporate ) 2560 Business Parkway, Ste. A Minden NV (775) (775) Out-Of-Home: Group Home A Devereaux, Timothy St Joseph's Children's Home PO Box 1117 Torrington WY (307) Page 425 of 446

426 County: Thomas DeVries, Ingrid Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Bilingual Services; Dixon, Jerri Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Dooley, Marlan 708 Westridge Parkway McCook NB (308) (308) Non-Treatment: Transportation Duncan, Nate Lakeland Behavioral Health System 440 S. Market Springfield MO (417) (417) Emergency Services Acute Inpatient Hospitalization; ; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Therapeutic Group Home - Youth Who Sexually Harm Treatment Eisenbarth, Kandy Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Page 426 of 446

427 County: Thomas Emmons, Jill RTC Resource Aquisition Corporation 1404 S State Ave Indianapolis IN (317) Fallon, Cassandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Fisher, Wayne Munroe-Meyer Institute, Center for Autism Nebraska Medical Center Omaha NB (402) (402) Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation Bilingual Services; Floyd, Debra St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Flynn, Monica Richard Young Hospital 1755 Prairie View Place Kearney NB (308) (308) Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Medication Management Page 427 of 446

428 County: Thomas Fountain, Melissa Fuhr, Holly Gillespie, Dana Gingery, Nanette Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Non-Treatment: Intensive Family Preservation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Family Ward Inc 1805 IllinoisSt Sidney NB (308) (877) Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class Summit Care and Wellness 1700 S 24th Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Residential Services Short Term Residential Bilingual Services; Greene, Nancy St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 428 of 446

429 County: Thomas Haberman, Mary Lou Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Hatfield, Vicki Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Haupt, Denise Central Mediation Center 204 E. 25th Street Suite 5 Kearney NB (308) (308) Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Bilingual Services; Hays, Michael Normative Services Inc 5 Lane Ln Sheridan WY (307) (307) Out-Of-Home: Group Home A; Non-Treatment: Summer School; Non-Treatment: Tutoring; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Therapeutic Group Home-Mental Health; Therapeutic Group Home-Co-Occurring; Professional Resource Family Care; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Medication Management; Out-Of-Home: Group Home B; Non-Treatment: Transportation; Assessment: Co-Occurring Henry, Paige Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) Page 429 of 446

430 County: Thomas Herman, Marijo Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Hines, Jessica Mingus Mountain Estate Residential Center, Inc E. Don Carlos Drive Prescott Valley AZ ; Therapeutic Group Home-Mental Health Bilingual Services; (602) (602) Jackson, Jessica Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Jackson, Sandra Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Jacobs, Carolyn Team Inc 1035 West Military Ave Fremont NB (402) Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Page 430 of 446

431 County: Thomas Johnson, Christina Lakeland Behavioral Health System 2323 W. Grand Springfield MO ; Assessment: Mental Status Exam (MSE) (417) Johnson, Jill Bryan Independence Center 1650 Lake St. Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Short Term Residential Jones, James Community Justice Center 5625 O Street, Suite #114 Lincoln NB (402) Non-Treatment: Day Reporting; Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation Jones, LeTroy Berniklau Education Solutions Inc South 70th Street Lincoln NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Alternative School; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Outpatient Psychiatric Evaluation; Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Page 431 of 446

432 County: Thomas Jost, Laura Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Kasson, Sarah CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Independent Living Kaufman, Helen Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Kern, Alissa Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (888) (308) Non-Treatment: Transportation Kirby, Randy Transitions 747 N. Burlington Ave Ste. 201 Hastings NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Non-Treatment: General Education Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Co-occurring Page 432 of 446

433 County: Thomas Kronhofman, Kelsey Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Emergency Services Acute Inpatient Hospitalization; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Juvenile Who Sexually Harm Risk Assessment Kyhl, Lynda Rite of Passage, Inc. (Corporate ) Calhoun Rd Omaha NB (775) Out-Of-Home: Group Home A Lee, Makayla Region II- Human Services 401 West 1st Street Ogallala NB (308) (308) Non-Treatment: Professional Partner Bilingual Services; Lenz, Doug Central Plains Center for Services 4343 North 52nd Street Omaha NB (402) (402) Out-Of-Home: Independent Living; Non-Treatment: General Education Class Lewis, Lisa Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Lightner, Nikki Center Pointe 2633 P St Lincoln NB Adult Residential Services Dual Residential (MH/SA) ; ; (402) Page 433 of 446

434 County: Thomas Likes, Jason Boys Town 555 N. 30th St. Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education Lindquist, Tony Child Guidance Center Therapeutic Group Home - Youth Who Sexually Harm Treatment 904 Summer St. Lincoln NB (402) Loomis, Kimberly Team Inc 22 W 27th St Suite 24 Scottsbluff NB (308) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment ; ; ; Juvenile Pre-Treatment Assessment (PTA); ; Non-Treatment: Family Support Worker; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual- Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient- Eating Disorder; Assessment: Pre-Treatment Assessment (Medicaid) Lukalu, Phillip St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Luth, Clinton Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 434 of 446

435 County: Thomas Madison, Gary Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) Marks, Chad Detroit Behavioral Institute 3500 John R Detroit MI (313) Marquart, Andy Epworth Village Inc N Division Ave York NB (402) Out-Of-Home: Group Home A; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care (402) Marsh, Michele Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Martinez, Nichole Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Martinez, Timothy Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Out-Of-Home: Group Home A; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B Page 435 of 446

436 County: Thomas McClellen, Melanie SPEAK OUT Family Organization 102 East 3rd Street Suite 104 North Platte NB (308) (308) Non-Treatment: Family Partner McCoy, Clay Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) (865) McDonald, Katie Inroads Counseling 2808 N 75th St Suite H Omaha NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential McGrath, Sandy Norfolk Group Home 201 North 12th St. Norfolk NB (402) (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A Micek, Hilary CEDARS Youth Services 6601 Pioneers Blvd Lincoln NB (402) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Maternity Group Home Non-parenting; Out-Of-Home: Maternity Group Home Parenting; Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Non-Treatment: Family Support Worker; Non-Treatment: Supervised Visitation; Non-Treatment: Day Reporting; Non-Treatment: Evening Reporting; Contracted Services: Tracker; Contracted Services: Electronic Monitoring; Out-Of-Home: Foster Care (Relative/Kinship) Page 436 of 446

437 County: Thomas Mosher, Mark Millcreek of Arkansas P.O. Box 727, 1810 Industrial Drive Fordyce AR (870) (870) Mundil, Kimberley Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Dual Residential (MH/SA); Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non- Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Non-Residential Services Partial Care; Juvenile Residential Services Therapeutic Community or Therapeutic Group Home; Juvenile Residential Services Short Term Residential Non-Treatment: General Education Class; Emergency Services: Partial Hospitalization; Outpatient Therapy - Co-occurring; Intensive Outpatient: Intensive Outpatient Therapy-Co-occurring; Day Treatment: Day Treatment - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Co-Occurring Hearing Impaired; Bilingual Services; Noyes, Brenda Camelot Transportation Inc 2001 Ave A Ste A Kearney NB (308) (308) Non-Treatment: Transportation Oltmer, Cynthia Behavioral Health Specialist/Seekers of 4432 Sunrise Place Columbus NB (402) (402) Serenity Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Residential Services Short Term Residential Page 437 of 446

438 County: Thomas Overall-Block, Heidi Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) (307) Patrie, Chuck Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Group Home B Pickel, Katy Child Guidance Center 904 Summer St. Lincoln NB (402) (402) Out-Of-Home: Group Home A; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Youth Who Sexually Harm; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Intensive Outpatient: Intensive Outpatient Therapy-Youth Who Sexually Harm; Day Treatment: Day Treatment- Youth Who Sexually Harm; Therapeutic Group Home-Mental Health; Therapeutic Group Home - Youth Who Sexually Harm Treatment; Assessment: Juvenile Who Sexually Harm Risk Assessment Pogue, William St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Poyzer, Michael Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Out-Of-Home: Group Home A; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Out-Of-Home: Group Home B Page 438 of 446

439 County: Thomas Rabb, Susan Alegent Health 6845 N 68th Plaza Omaha NB (402) (402) Hearing Impaired; Bilingual Services; Rader, Brian Grace Children's Home 1033 N Main St Henderson NB (402) (402) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Group Home B Rasnake, Meghan Riva, Christina Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 2431 Jones Bend Rd. Louisville TN Four Mile Parkway Canon City CO (865) (719) Roblee, Lannie Midwest Special Services, Inc. PO Box 82 Curtis NB (308) (308) Non-Treatment: Transportation Ross, Bruce St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Page 439 of 446

440 County: Thomas Saenz, Maria St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Bilingual Services; Salas, Marti Cornerstone Programs Southeastern Wyoming Juvenile 3304 E. I-80 Service Rd Cheyenne WY (307) Schreiber, Mindy Schulte, Heather Colegrove Counseling Center th Ave Columbus NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Care Monitoring SA/MH; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; ; ; ; ; ; Non-Treatment: Anger Management Class; Non-Treatment: General Education Class; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Community Treatment Aide; Intensive Outpatient: Intensive Outpatient Therapy-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Co-Occurring Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Page 440 of 446

441 County: Thomas Schultz, Otto Bryan Independence Center 1650 Lake St. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment; Juvenile Residential Services Short Term Residential Sell, Shannon Region II- Human Services 110 N. Bailey North Platte NB (308) (308) Non-Treatment: General Education Class Bilingual Services; Sheffer, Brody Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) Sheriff, Matthew Apex Therapy Service 1306 Andrews Drive Box 1163 Norfolk NB (402) (402) Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Family Sessions-Mental Health; Assessment: Pre-Treatment Assessment (Medicaid) Sinor, Cheryl Village Behavioral Health, LLC DBA The Village Hearing Impaired; Bilingual Services; 2431 Jones Bend Rd. Louisville TN (865) Page 441 of 446

442 County: Thomas Smith, Jessica Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Juvenile Who Sexually Harm Risk Assessment Snyder, Grace Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) Therapeutic Group Home-Mental Health Snyder, Jamie Alegent Health 6845 N. 68th Plaza Omaha NB (402) (402) Bilingual Services; Starman, Beverly Steelman, Elaine Catholic Charities th St Ste 17 Columbus NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Non-Residential Services Intensive Outpatient Treatment ; Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid) Summit Care and Wellness 1700 S 24th Lincoln NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Adult Residential Services Short Term Residential Page 442 of 446

443 County: Thomas Steinbach, Melissa Southern Peaks Regional Treatment Center Therapeutic Group Home-Mental Health 700 Four Mile Parkway Canon City CO (719) (719) Stephens, Johna St Monica's 120 Wedgewood Dr. Lincoln NB (402) (402) Adult Assessment Services Substance Abuse Evaluations; Adult Residential Services Short Term Residential Thompson, David Mount Pleasant Campus 1100 S. 70 W. Mt Pleasant UT (801) ; Assessment: Mental Status Exam (MSE) Uhernik, James Excelsior Youth Centers, Inc E. Oxford Ave. Aurora CO (303) (303) Therapeutic Group Home-Mental Health Ullman, Daniel Whitehall 5845 Huntington Avenue Lincoln NB (402) (402) ; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Assessment: Co-Occurring VanGieson, Dabria Sequel of Kansas, LLC dba Riverside Academy 2050 W. 11th St. N. Wichita KS (316) Page 443 of 446

444 County: Thomas Wagner, Becky Mid-Plains Center for Behavioral Healthcare Inc 615 N Elm Grand Island NB (308) (308) Out-Of-Home: Foster Care ( Supported); Out-Of-Home: Emergency Foster Care; Out-Of-Home: Respite Care; Out-Of-Home: Independent Living; Out- Of-Home: Foster Care (Relative/Kinship); Assessment: Home Assessment (Foster Care Relative/Kinship) Weyer, John Whitehall 5845 Huntington Avenue Lincoln NB (402) Williams-Russell-EL, 5622 N. 28th Avenue Omaha NB (402) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Intensive Outpatient Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non- Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Intensive Outpatient Treatment Woods, Mary Jane St Joseph's Children's Home PO Box 1117 Torrington WY (307) (307) Wright, Brooke Hastings Regional Center P.O. Box 579 Hastings NB Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; (402) Page 444 of 446

445 County: Thomas XGavin, XJared Yergler, Mike Copple Rockey McKeever & Schlecht OBO W Dodge Rd Ste 3 Omaha NB (402) A-1 Health Services Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Methadone Maintenance; Adult Non-Residential Services Care Monitoring SA/MH; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Adult Non- Residential Services Intensive Outpatient Treatment; Adult Non-Residential Services Partial Care Southern Peaks Regional Treatment Center 700 Four Mile Parkway Canon City CO (719) (719) Out-Of-Home Shelter Care; Out-Of-Home: Group Home A; Out-Of-Home: Respite Care; Non-Treatment: Supervised Visitation; Non-Treatment: Anger Management Class; Non-Treatment: Juvenile Offender/Victim and Conflict Mediation; Non-Treatment: Expedited Family Group Conference; Non-Treatment: Restitution Program; Non-Treatment: Mentoring; Non-Treatment: Employment Placement Program; Therapeutic Group Home-Mental Health; Assessment: Mental Status Exam (MSE); Assessment: Psychological Evaluation; Assessment: Juvenile Who Sexually Harm Risk Assessment; Out-Of-Home: Group Home B; Non-Treatment: Transportation Ziglor, Pernell Detroit Behavioral Institute 1333 Brewery Park Blvd Suite 140 Detroit MI (313) (313) Zlomke, Lise Aurora Counseling P. O. Box 2078 North Platte NB (308) (308) Adult Assessment Services Substance Abuse Evaluations; Adult Non-Residential Services Intervention/Education; Adult Non-Residential Services Outpatient - Groups; Adult Non-Residential Services Outpatient - Family; Adult Non-Residential Services Outpatient - Individual; Adult Non-Residential Services Outpatient - Co-Occurring Treatment; Juvenile Assessment Services Substance Abuse Evaluations; Juvenile Non-Residential Services Intervention/Education; Juvenile Non-Residential Services Outpatient - Groups; Juvenile Non-Residential Services Outpatient - Family; Juvenile Non-Residential Services Outpatient - Individual; Juvenile Non-Residential Services Outpatient - Co-Occurring Treatment Outpatient Therapy - Individual-Mental Health; Outpatient Therapy including Group Sessions-Mental Health; Outpatient Therapy including Family Sessions- Mental Health; Outpatient Therapy - Eating Disorder; Outpatient Therapy - Co-occurring; Assessment: Pre-Treatment Assessment (Medicaid); Assessment: Mental Status Exam (MSE) Bilingual Services; Page 445 of 446

446 County: Thomas Zoucha, Kenneth Hastings Regional Center P.O. Box 579 Hastings NB (402) (402) Juvenile Residential Services Extended Residential or SA Residential Treatment Center Hearing Impaired; Bilingual Services; Page 446 of 446