Active NPI
Laura Jean Vandenberg, LADC
- Addiction (Substance Use Disorder) Counselor
- Seward, NE
National Provider Identifier
1518039619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 422
- Practice address
- 729 Seward St
Suite 2
Seward, NE 68434 - Phone
- (402) 643-3343
- Fax
- (402) 643-4048
- NPI assigned
- Nov 14, 2006
- Last updated
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 422 | NE | Primary |
Addresses
Primary practice location
729 Seward St
Suite 2
Seward, NE 68434
Mailing address
459 South 6TH, Street, Suite 1
Seward, NE 68434
Phone (402) 643-3343
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025208600 | Medicaid | NE | |
| 10025668200 | Medicaid | NE | |
| 10025208500 | Medicaid | NE | |
| 47052851509 | Medicaid | NE | |
| 47052851501 | Medicaid | NE | |
| 47052851503 | Medicaid | NE | |
| 47052851500 | Medicaid | NE | |
| 47052851504 | Medicaid | NE | |
| 47052851506 | Medicaid | NE | |
| 47052851514 | Medicaid | NE | |
| 47052851510 | Medicaid | NE | |
| 85311 | Other | NE | BCBS |
| 470528515-08 | Medicaid | NE | |
| 47052851515 | Medicaid | NE |
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 |
|---|---|---|---|
| 422 | NE | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Valley Behavioral Health Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Beatrice, NE
- NPI 1316019508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1518039619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 SOUTH 6TH, STREET, SUITE 1",
"city": "SEWARD",
"state": "NE",
"postal_code": "68434",
"telephone_number": "402-643-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 SEWARD ST",
"address_2": "SUITE 2",
"city": "SEWARD",
"state": "NE",
"postal_code": "68434",
"telephone_number": "402-643-3343",
"fax_number": "402-643-4048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDENBERG",
"first_name": "LAURA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025208600",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025668200",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025208500",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851509",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851501",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851503",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851500",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851504",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851506",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851514",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851510",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "85311",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-08",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851515",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seward, NE
- Turning Point Behavioral Health & Addiction Counseling PC
- Twin Rivers Urgent Care LLC
- Unity Eye Centers Inc (Unity Eye Center - Seward)
- Van E. Vahle, M.D.
- Lynsey Marie Valenti, RDH, BS, OMT
- Melissa Ann Vanderslice
- Allan Paul Vasconcellos, PHD
- VSL Seward LLC (Ridgewood Rehab and Care Center)
- Lori L Wall, PHD
- Robert W. Wall, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.