Luke Donald Andersen, PLADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Omaha, NE
NPI 1053072033 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1053072033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- P-2139 (NE)
- Practice address
- 5115 F St
Omaha, NE 68117-2807 - Phone
- (402) 397-9866
- Fax
- (402) 397-1404
- NPI assigned
- Jan 3, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-2139 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-2139 | NE | Yes |
Addresses
Primary practice location
5115 F St
Omaha, NE 68117-2807
Mailing address
5115 F St
Omaha, NE 68117-2807
Phone (402) 397-9866
Other providers in Omaha, NE
- John D Andersen
- John Todd Andersen
- Katie E Andersen
- Kellen Michael Andersen
- Lindy Andersen
- Mark A Andersen
- Mark D Andersen
- Rachel Anne Andersen
- Robert Chris Andersen
- Robert Vernon Andersen
All providers in Omaha, NE · Addiction (Substance Use Disorder) Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.