MEDICARE: GREAT PLAINS COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1861691321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT PLAINS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1406 FORT CROOK RD S STE 401
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-2980
Country	:	US
Telephone Number	:	402-292-7712
Fax Number	:	402-292-0144

Provider Business Practice Location Address
First Line	:	1406 FORT CROOK RD S STE 401
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-2980
Country	:	US
Telephone Number	:	402-292-7712
Fax Number	:	402-292-0144

Authorized Official
Title or Position	:	OWNER/DIRECTOR/PROVIDER
Name	:	SHERRY LYNNE HUBBARD
Credential	:	LIMHP, MFT, PC
Telephone Number	:	402-292-7712

Provider Enumeration Date	:	07/15/2007
Last Update Date	:	02/02/2024

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