Provider Demographics
NPI:1275592347
Name:NEBEKER, DENISE ANNETTE (MS, LMHP,LPC)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:ANNETTE
Last Name:NEBEKER
Suffix:
Gender:F
Credentials:MS, LMHP,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 S 10TH ST
Mailing Address - Street 2:SUITE 328
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-1155
Mailing Address - Country:US
Mailing Address - Phone:402-504-4102
Mailing Address - Fax:402-505-4188
Practice Address - Street 1:2205 S 10TH ST
Practice Address - Street 2:SUITE 328
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-1155
Practice Address - Country:US
Practice Address - Phone:402-504-4102
Practice Address - Fax:402-505-4188
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2472101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100255390000Medicaid
NE238505OtherMIDLANDS CHOICE
NE84859OtherBLUECROSSBLUESHIELD
NE337919OtherVALUE OPTIONS