Provider Demographics
NPI:1780009464
Name:SIEMER COUNSELING & ASSESSMENTS LLC
Entity Type:Organization
Organization Name:SIEMER COUNSELING & ASSESSMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAISLEY (SIEMER)
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP, LADC
Authorized Official - Phone:402-500-0555
Mailing Address - Street 1:12020 SHAMROCK PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3537
Mailing Address - Country:US
Mailing Address - Phone:402-500-0555
Mailing Address - Fax:888-960-2108
Practice Address - Street 1:12020 SHAMROCK PLZ
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-3537
Practice Address - Country:US
Practice Address - Phone:402-500-0555
Practice Address - Fax:888-960-2108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE860101YA0400X
NE3536101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty