Individual provider Active NPI

Thomas William Louderback, PLMHP, PLADC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1033535224
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10200 Issued in NE
Practice address
2110 S 38TH St
Lincoln, NE 68506-6021
Phone
(402) 261-6667
Fax
(402) 261-6526
NPI assigned
Mar 11, 2014
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-1208 NE
Mental Health Counselor 101YM0800X 10200 NE Primary

Addresses

Primary practice location

2110 S 38TH St
Lincoln, NE 68506-6021

Mailing address

2110 S 38TH St
Lincoln, NE 68506-6021
Phone (402) 261-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P-1208NEMDAddiction (Substance Use Disorder) Counselor
10200NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Counseling & Treatment Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1033535224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 S 38TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066021",
            "telephone_number": "402-261-6667",
            "fax_number": "402-261-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 S 38TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066021",
            "telephone_number": "402-261-6667",
            "fax_number": "402-261-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDERBACK",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "credential": "PLMHP, PLADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1208",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.