NICHOLE BONNIE GREGORY L.A.D.C. LICENSE ALC NPI 1295968717

NPI Information

NPI: 1295968717
Provider Name: NICHOLE BONNIE GREGORY, L.A.D.C. LICENSE ALC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2170 NORTH PLATTE STREET
AWARENESS COUNSELING
FREMONT, NE
ZIP 68025
Phone: (402) 753-6440
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Nichole Bonnie Gregory, L.A.D.C. LICENSE ALC is an addiction (substance use disorder) counselor in Fremont, NE. Nichole Bonnie Gregory, L.A.D.C. LICENSE ALC NPI is 1295968717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2170 NORTH PLATTE STREET
AWARENESS COUNSELING
FREMONT, NE
ZIP 68025-630
Phone: (402) 753-6440
Fax: (402) 753-6445

The enumeration date for this NPI number is 9/1/2009 and was last updated on 6/15/2017.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	857	NEBRASKA	Yes
2	103K00000X	Behavior Analyst		P658	NEBRASKA	No

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	$$$$$$$$$00	MEDICAID	NEBRASKA
2	13947938	OTHER		CAQH

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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