Active NPI
Kenneth Bradley Luedke, PLADC
- Addiction (Substance Use Disorder) Counselor
- Lincoln, NE
National Provider Identifier
1346777562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4706 South 48TH St
Lincoln, NE 68516 - Phone
- (402) 489-9792
- Fax
- (402) 489-9793
- NPI assigned
- May 18, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1492 | NE | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NE | Primary |
Addresses
Primary practice location
4706 South 48TH St
Lincoln, NE 68516
Mailing address
331 Indian Rd
Lincoln, NE 68505
Phone (402) 318-4693
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-1492 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1346777562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 INDIAN RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68505",
"telephone_number": "402-318-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4706 SOUTH 48TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68516",
"telephone_number": "402-489-9792",
"fax_number": "402-489-9793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEDKE",
"first_name": "KENNETH",
"middle_name": "BRADLEY",
"credential": "PLADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-18",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-1492",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.