Provider Demographics
NPI:1679761381
Name:DENISE NEBEKER COUNSELING, INC
Entity type:Organization
Organization Name:DENISE NEBEKER COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEBEKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHP, LPC
Authorized Official - Phone:402-504-4102
Mailing Address - Street 1:2205 S. 10TH STREET, STE 328
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108
Mailing Address - Country:US
Mailing Address - Phone:402-504-4102
Mailing Address - Fax:402-505-4188
Practice Address - Street 1:2205 S. 10TH STREET, STE 328
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108
Practice Address - Country:US
Practice Address - Phone:402-504-4102
Practice Address - Fax:402-505-4188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2472101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025539000Medicaid