Active NPI
William Joseph Nelson
- Addiction (Substance Use Disorder) Counselor
- Omaha, NE
National Provider Identifier
1396987467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 765
- Practice address
- 3483 Larimore Ave
Omaha, NE 68111-2383 - Phone
- (402) 455-8303
- NPI assigned
- Apr 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 765 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 2951 | NE | |
| Professional Counselor | 101YP2500X | 1532 | NE |
Addresses
Primary practice location
3483 Larimore Ave
Omaha, NE 68111-2383
Mailing address
12136 Erskine Cir
Omaha, NE 68164-3539
Phone (402) 491-0711
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 765 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 2951 | NE | MD | Mental Health Counselor |
| 1038 | NE | MD | Occupational Therapist |
| 1532 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Health | Current | Accepting new patients | |
| Alegent Creighton Health | Current | Accepting new patients | |
| Nova Theraputic Community, Inc | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905
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.
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1033288923
-
- Community/Retail Pharmacy
- Lincoln, NE
- NPI 1598423220
-
- Children's Substance Abuse Rehabilitation Facility
- Omaha, NE
- NPI 1457599086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1396987467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12136 ERSKINE CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681643539",
"telephone_number": "402-491-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3483 LARIMORE AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681112383",
"telephone_number": "402-455-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-03",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "765",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2951",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1532",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.