Provider Demographics
NPI:1609971308
Name:INSIGHT COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:INSIGHT COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PLASEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-721-7169
Mailing Address - Street 1:445 E. 1ST STREET, SUITE 1
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-5617
Mailing Address - Country:US
Mailing Address - Phone:402-721-7169
Mailing Address - Fax:402-721-7169
Practice Address - Street 1:445 E. 1ST STREET, SUITE 1
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-5617
Practice Address - Country:US
Practice Address - Phone:402-721-7169
Practice Address - Fax:402-721-7169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025115400Medicaid
NE10025115400Medicaid
NE099619Medicare ID - Type Unspecified