Provider Demographics
NPI:1508452194
Name:JDB COUNSELING SERVICE INC
Entity Type:Organization
Organization Name:JDB COUNSELING SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BOGENSBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:402-813-0406
Mailing Address - Street 1:2004 N 50TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-5058
Mailing Address - Country:US
Mailing Address - Phone:402-813-0406
Mailing Address - Fax:
Practice Address - Street 1:2004 N 50TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-5058
Practice Address - Country:US
Practice Address - Phone:402-813-0406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty