Active NPI
Motivational Counseling
- Mental Health Counselor
- Scottsbluff, NE
National Provider Identifier
1659050375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MOTIVATIONAL COUNSELING
- Practice address
- 1502 2ND Ave Ste 2/3
Scottsbluff, NE 69361-3224 - Phone
- (307) 359-8530
- NPI assigned
- Jul 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie K Erdman, LIMHP
- Title
- Mental Health Addictions Counselor
- Phone
- (307) 359-8530
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1502 2ND Ave Ste 2/3
Scottsbluff, NE 69361-3224
Mailing address
1502 2ND Ave Ste 2
Scottsbluff, NE 69361-3278
Phone (308) 633-2049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240422002121 | NE | Part B Supplier - Clinic/Group Practice | 8325487457 |
Receives reassigned benefits from 1 practitioner Practice locations: Scottsbluff, NE |
National Provider Directory
National Provider DirectoryLocations
1502 2nd Ave
Ste 23
Scottsbluff, NE 69361
Phone (307) 359-8530
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Scottbluff, NE
- NPI 1265007397
Addiction (Substance Use Disorder), NE
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712188800000",
"number": "1659050375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 2ND AVE STE 2",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693613278",
"telephone_number": "308-633-2049",
"fax_number": "308-633-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 2ND AVE STE 2/3",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693613224",
"telephone_number": "307-359-8530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTIVATIONAL COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-12",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A",
"authorized_official_last_name": "ERDMAN",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MENTAL HEALTH ADDICTIONS COUNSELOR",
"authorized_official_telephone_number": "307-359-8530",
"authorized_official_credential": "LIMHP"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"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 Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.