Individual provider Active NPI

Brian Nuding

  • Counselor
  • Fremont, NE
National Provider Identifier
1679214803
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12929 Issued in NE
Practice address
1835 E Military Ave
Fremont, NE 68025-5477
Phone
(402) 681-8714
NPI assigned
Apr 3, 2022
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 12929 NE Primary

Addresses

Primary practice location

1835 E Military Ave
Fremont, NE 68025-5477

Mailing address

630 E 12TH St
Fremont, NE 68025-4244
Phone (402) 681-8714

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718000780 NE Practitioner - Mental Health Counselor 6608312319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Minds Therapy PCGroup PAC ID 5799221404, 2 clinicians

Practice addresses (Care Compare)

1835 E Military Ave
Suite 111
Fremont, NE 68025-5477
Phone (402) 205-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12929NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Minds Therapy, PC CurrentSince May 1, 2024 Accepting new patients

Locations

1835 E Military Ave
Ste 111
Fremont, NE 68025
Phone (402) 205-8550

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.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1679214803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E 12TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254244",
            "telephone_number": "402-681-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255477",
            "telephone_number": "402-681-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUDING",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-03",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "12929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.