Active NPI
David G Swan, LADC
- Addiction (Substance Use Disorder) Counselor
- Lincoln, NE
National Provider Identifier
1275078313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1009
- Practice address
- 1124 N Cotner Blvd
Lincoln, NE 68505-1834 - Phone
- (402) 435-3165
- Fax
- (402) 435-0430
- NPI assigned
- Dec 28, 2016
- Last updated
- Dec 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1009 | NE | Primary |
Addresses
Primary practice location
1124 N Cotner Blvd
Lincoln, NE 68505-1834
Mailing address
1124 N Cotner Blvd
Lincoln, NE 68505-1834
Phone (402) 435-3165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009 | Other | NE | STATE OF NEBRASKA |
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 |
|---|---|---|---|
| 1009 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houses of Hope of Nebraska, Inc | 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.
-
- Substance Abuse Rehabilitation Facility
- Lincoln, NE
- NPI 1578690152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1275078313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 N COTNER BLVD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685051834",
"telephone_number": "402-435-3165",
"fax_number": "402-435-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 N COTNER BLVD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685051834",
"telephone_number": "402-435-3165",
"fax_number": "402-435-0430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "DAVID",
"middle_name": "G",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-28",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "1009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEBRASKA",
"identifier": "1009",
"state": "NE"
}
],
"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 Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.