Emily Nissen, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1096 Issued in NE

Practice address

1903 4TH Corso
Nebraska City, NE 68410-2601

Phone

(402) 873-5505

Fax

(402) 873-6374

NPI assigned

Apr 9, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Andres Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Blue Valley Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Beatrice, NE
  • NPI 1316019508
  NPD

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1033552104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102041",
            "telephone_number": "402-228-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 4TH CORSO",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684102601",
            "telephone_number": "402-873-5505",
            "fax_number": "402-873-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSEN",
        "first_name": "EMILY",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ANDRES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nebraska City Chiropractic, LLC
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• Nebraska City Physical Therapy, LLC
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• Tasha Jo Nolting
• Scott R. O'Neil, D.D.S.
• Samantha Jo Oggs, RN
• Sandra Orellana
• Amanda Michelle Owen-Doerr

• Addiction (Substance Use Disorder) Counselor in Nebraska City, NE
• Providers in Nebraska City, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.