MR. GARY LEE ANDERSON AAS PLADC NPI 1134880313

NPI Information

NPI: 1134880313
Provider Name: MR. GARY LEE ANDERSON, AAS, PLADC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
11215 JOHN GALT BLVD
OMAHA, NE
ZIP 68137
Phone: (402) 592-5900
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MR. Gary Lee Anderson, AAS, PLADC is a counselor in Omaha, NE. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Gary Lee Anderson, AAS, PLADC NPI is 1134880313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11215 JOHN GALT BLVD
OMAHA, NE
ZIP 68137-319
Phone: (402) 592-5900
Fax: (402) 592-5901

The enumeration date for this NPI number is 1/10/2022 and was last updated on 1/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		P1502	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1073874731	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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