Provider Demographics
NPI:1053745091
Name:BAIER, TODD DANIEL (PLMHP, PLADC)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:DANIEL
Last Name:BAIER
Suffix:
Gender:M
Credentials:PLMHP, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BLUFF AVE
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:NE
Mailing Address - Zip Code:68071-9787
Mailing Address - Country:US
Mailing Address - Phone:402-878-2911
Mailing Address - Fax:
Practice Address - Street 1:100 BLUFF AVE
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:NE
Practice Address - Zip Code:68071-9787
Practice Address - Country:US
Practice Address - Phone:402-878-2911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1137101YA0400X
NE9866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)