Active NPI
Abby Ford, PLMHP, PLADC
- Mental Health Counselor
- Gering, NE
National Provider Identifier
1164091310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12595
- Practice address
- 1870 9TH Street
Gering, NE 69341 - Phone
- (308) 225-4335
- Fax
- (308) 633-2020
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1874 | NE | |
| Mental Health Counselor | 101YM0800X | 12595 | NE | Primary |
Addresses
Primary practice location
1870 9TH Street
Gering, NE 69341
Mailing address
2010 Highway 29
Mitchell, NE 69357
Phone (308) 631-5389
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026446904 | Medicaid | NE | |
| PC10026496903 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| P-1874 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 12595 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1164091310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 HIGHWAY 29",
"city": "MITCHELL",
"state": "NE",
"postal_code": "69357",
"telephone_number": "308-631-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 9TH STREET",
"city": "GERING",
"state": "NE",
"postal_code": "69341",
"telephone_number": "308-225-4335",
"fax_number": "308-633-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "ABBY",
"credential": "PLMHP, PLADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-1874",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "12595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026446904",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC10026496903",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gering, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.