Active NPI
Adam N. Proctor, MC, NCC, LPC, LIMHP
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1972701647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LIMHP-705
- Practice address
- 5600 S 59TH St
Suite 104
Lincoln, NE 68516-2386 - Phone
- (402) 484-0595
- Fax
- (402) 484-6306
- NPI assigned
- Jul 4, 2007
- Last updated
- Dec 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHP-3150 | NE | |
| Mental Health Counselor | 101YM0800X | LIMHP-705 | NE | Primary |
| Professional Counselor | 101YP2500X | CPC-1670 | NE |
Addresses
Primary practice location
5600 S 59TH St
Suite 104
Lincoln, NE 68516-2386
Mailing address
5600 S 59TH St
Suite 104
Lincoln, NE 68516-2386
Phone (402) 484-0595
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10024982600 | Medicaid | NE | |
| 48053 | Other | BLUECROSSBLUESHIELD | |
| 47084125026 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LIMHP-705 | NE | MD | Mental Health Counselor |
| LMHP-3150 | NE | MD | Mental Health Counselor |
| CPC-1670 | NE | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1972701647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 S 59TH ST",
"address_2": "SUITE 104",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685162386",
"telephone_number": "402-484-0595",
"fax_number": "402-484-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 S 59TH ST",
"address_2": "SUITE 104",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685162386",
"telephone_number": "402-484-0595",
"fax_number": "402-484-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "ADAM",
"middle_name": "N.",
"credential": "MC, NCC, LPC, LIMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-04",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "LMHP-3150",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "LIMHP-705",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "CPC-1670",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10024982600",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "48053",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47084125026",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.