Individual provider Active NPI

Thomas Brian Florez, LIMHP/LADC, CSOTS

  • Counselor
  • Kearney, NE
National Provider Identifier
1720420896
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2110 Issued in NE
Practice address
2315 W 39TH St Ste 111
Kearney, NE 68845-8327
Phone
(308) 218-6045
Fax
(308) 395-7310
NPI assigned
Jul 18, 2013
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2110 NE Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1177 NE
Mental Health Counselor 101YM0800X 2110 NE

Addresses

Primary practice location

2315 W 39TH St Ste 111
Kearney, NE 68845-8327

Mailing address

2121 N Webb Rd Ste 101
Grand Island, NE 68803-1751
Phone (308) 218-6045

Other identifiers 2

IdentifierTypeStateIssuer
1177OtherNELICENSE DRUG AND ALCOHOL
2110OtherNEINDEPENDENT MENTAL HEALTH LICENSURE

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
I20251008000278 NE Practitioner - Mental Health Counselor 3577060490 Practice locations: Grand Island, NE

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1922 W N Front St
Grand Island, NE 68803-4707

2121 N Webb Rd
Suite 101
Grand Island, NE 68803-1751
Phone (308) 218-6045

2221 N Webb Rd
101 Suite 101
Grand Island, NE 68803-1751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florez Behavioral Counseling Solutions LLC Addiction (Substance Use Disorder) CurrentSince Oct 5, 2025 Accepting new patients

Locations

2121 N Webb Rd
Ste 101
Grand Island, NE 68803
Phone (308) 218-6045

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1720420896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N WEBB RD STE 101",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031751",
            "telephone_number": "308-218-6045",
            "fax_number": "308-395-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W 39TH ST STE 111",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458327",
            "telephone_number": "308-218-6045",
            "fax_number": "308-395-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREZ",
        "first_name": "THOMAS",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LIMHP/LADC, CSOTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "2110",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1177",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2110",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE DRUG AND ALCOHOL",
            "identifier": "1177",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT MENTAL HEALTH LICENSURE",
            "identifier": "2110",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.