Main Street Counseling

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MAIN STREET COUNSELING

Practice address

1735 E Military Ave Ste 4
Fremont, NE 68025-5402

Phone

(402) 275-1961

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Holly Porter, LADC

Title

Provider

Phone

(402) 275-1961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1902625650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "CEDAR BLUFFS",
            "state": "NE",
            "postal_code": "680150319",
            "telephone_number": "402-275-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 E MILITARY AVE STE 4",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255402",
            "telephone_number": "402-275-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "402-275-1961",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Magnino, CRNA
• Matthew J Magnino, M.D.
• Kenneth Lee Mahnke, D.C.
• Levi Mahnke
• Ryan John Mahnke, MS, PLMHP
• Cheryl Malina
• Dawn Maly
• Melissa Suzanne Mann
• Traci Michelle Manus
• Robin Martens

• Addiction (Substance Use Disorder) Counselor in Fremont, NE
• Providers in Fremont, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.