Organization Active NPI

P & P Fabrication

  • Addiction (Substance Use Disorder) Counselor
  • Fremont, NE
National Provider Identifier
1932420643
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
P & P FABRICATION
Practice address
92 W 5TH St
Ste B
Fremont, NE 68025
Phone
(402) 727-7278
Fax
(402) 727-7366
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Mark Robert Porter, LADC
Title
Therapist
Phone
(402) 727-7278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

92 W 5TH St
Ste B
Fremont, NE 68025

Mailing address

92 W 5TH St
Ste B
Fremont, NE 68025
Phone (402) 727-7278

Other names 1

  • A Brand New Day Doing business as

National Provider Directory

National Provider Directory

Locations

92 W 5th St
Ste B
Fremont, NE 68025
Phone (402) 727-7278

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1932420643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 W 5TH ST",
            "address_2": "STE B",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-727-7278",
            "fax_number": "402-727-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W 5TH ST",
            "address_2": "STE B",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-727-7278",
            "fax_number": "402-727-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & P FABRICATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "402-727-7278",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Brand New Day",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.