Tara Desel
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Grand Island, NE
NPI 1316837487 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1316837487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- P2333 (NE)
- Practice address
- 403 Lexington Cir
Grand Island, NE 68803-9728 - Phone
- (308) 675-2858
- NPI assigned
- Jul 8, 2025
- Sex
- Female
- 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 |
|---|---|---|---|
| P2333 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P2333 | NE | Yes |
Addresses
Primary practice location
403 Lexington Cir
Grand Island, NE 68803-9728
Mailing address
2719 Sunny Brooke Rd
Grand Island, NE 68801-6872
Phone (308) 391-0366
Other providers in Grand Island, NE
- Mark Warren Dennis
- Carole Lynn Denton
- Department of Veteran Affairsnebraska Western Iowa Health Care System
- Ariel Lachandra Derr
- Linette Derr
- Stephanie Detamore
- Megan R Dethlefsen
- Jody L Detwieler
- Madelayne Deus Olivares
- Jennifer Jill Dexter
All providers in Grand Island, 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 Jul 8, 2025. 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.