NPIMap

Organization Active NPI

Eberle Therapy Services PC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1376101543
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EBERLE THERAPY SERVICES PC
Practice address
630 N Cotner Blvd Ste 103
Lincoln, NE 68505-2339
Phone
(402) 984-4424
NPI assigned
Jun 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Authorized official

Name
Jeremy Eberle, LIMHPNPI 1952619124
Title
Owner
Phone
(402) 984-4424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

630 N Cotner Blvd Ste 103
Lincoln, NE 68505-2339

Mailing address

630 N Cotner Blvd Ste 103
Lincoln, NE 68505-2339
Phone (402) 984-4424

National Provider Directory

National Provider Directory

Locations

630 N Cotner Blvd
Ste 103
Lincoln, NE 68505
Phone (402) 464-2422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1376101543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N COTNER BLVD STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052339",
            "telephone_number": "402-984-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N COTNER BLVD STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052339",
            "telephone_number": "402-984-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERLE THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "EBERLE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-984-4424",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "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 Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.