JACK EVERIE CARLSON LIMHP LPC NPI 1790857811

NPI Information

NPI: 1790857811
Provider Name: JACK EVERIE CARLSON, LIMHP LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
459 S 6TH ST
BLUE VALLEY BEHAVIORAL HEALTH
SEWARD, NE
ZIP 68434
Phone: (402) 643-3343
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Jack Everie Carlson, LIMHP LPC is a mental health counselor in Seward, NE. Jack Everie Carlson, LIMHP LPC NPI is 1790857811. 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:

459 S 6TH ST
BLUE VALLEY BEHAVIORAL HEALTH
SEWARD, NE
ZIP 68434-405
Phone: (402) 643-3343
Fax: (402) 643-4048

The enumeration date for this NPI number is 11/14/2006 and was last updated on 5/16/2012.

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	101YM0800X	Counselor	Mental Health	563	NEBRASKA	No
2	101YM0800X	Counselor	Mental Health	2275	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	470528515-02	MEDICAID	NEBRASKA
2	470528515-06	MEDICAID	NEBRASKA
3	470528515-09	MEDICAID	NEBRASKA
4	47052851505	MEDICAID	NEBRASKA
5	10025668200	MEDICAID	NEBRASKA
6	470528515-03	MEDICAID	NEBRASKA
7	470528515-82	MEDICAID	NEBRASKA
8	10025207900	MEDICAID	NEBRASKA
9	237457	OTHER		MIDLANDS CHOICE
10	470528515-00	MEDICAID	NEBRASKA
11	470528515-05	MEDICAID	NEBRASKA
12	470528515-13	MEDICAID	NEBRASKA
13	470528515-14	MEDICAID	NEBRASKA
14	84591	OTHER	NORTH CAROLINA	BCBS
15	470528515-07	MEDICAID	NEBRASKA
16	470528515-01	MEDICAID	NEBRASKA
17	470528515-10	MEDICAID	NEBRASKA
18	10025208600	MEDICAID	NEBRASKA
19	470528515-04	MEDICAID	NEBRASKA
20	470528515-08	MEDICAID	NEBRASKA
21	470528515-15	MEDICAID	NEBRASKA
22	470528515-17	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: 5/5/2024

NPI Synchronization or Removal

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