Individual provider Active NPI

Angela Gadeken, LIMHP, PLADC, CPC

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1285036129
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2033 Issued in NE
Practice address
1800 W Pasewalk Ave Ste a
Norfolk, NE 68701-5657
Phone
(402) 500-6870
Fax
(402) 500-6871
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2362 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X P-1388 NE
Mental Health Counselor 101YM0800X 4940 NE
Mental Health Counselor 101YM0800X 2033 NE Primary

Addresses

Primary practice location

1800 W Pasewalk Ave Ste a
Norfolk, NE 68701-5657

Mailing address

1800 W Pasewalk Ave Ste a
Norfolk, NE 68701-5657
Phone (402) 500-6870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121001033 NE Practitioner - Mental Health Counselor 3971038415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cor Therapeutic Services, LLCGroup PAC ID 1355796343, 16 clinicians

Practice addresses (Care Compare)

404 L St
Neligh, NE 68756-1418
Phone (402) 500-6870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P-1388NEMDAddiction (Substance Use Disorder) Counselor
4940NEMDMental Health Counselor
2033NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Therapeutic Services, LLC Mental Health CurrentSince Sep 5, 2024 Accepting new patients
Cor Therapeutic Services, LLC Mental Health CurrentSince Sep 5, 2024 Accepting new patients
Cor Therapeutic Services, LLC Mental Health PastSince Mar 16, 2021 Accepting new patients

Locations

404 L St
Neligh, NE 68756

1203 S 8th St
Norfolk, NE 68701
Phone (402) 371-0220

1800 W Pasewalk Ave
Ste A
Norfolk, NE 68701
Phone (402) 369-2975

614 N 4th St
Oneill, NE 68763
Phone (402) 336-1306

614 N 4th St
Ste 104
Oneill, NE 68763
Phone (402) 340-1210

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1285036129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK AVE STE A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015657",
            "telephone_number": "402-500-6870",
            "fax_number": "402-500-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK AVE STE A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015657",
            "telephone_number": "402-500-6870",
            "fax_number": "402-500-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADEKEN",
        "first_name": "ANGELA",
        "credential": "LIMHP, PLADC, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "2362",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1388",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4940",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.