Healthcare Provider Details

I. General information

NPI: 1023922184
Provider Name (Legal Business Name): JOHN HUNSBERGER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16413 PIERCE ST
OMAHA NE
68130-1337
US

IV. Provider business mailing address

16413 PIERCE ST
OMAHA NE
68130-1337
US

V. Phone/Fax

Practice location:
  • Phone: 402-517-0040
  • Fax:
Mailing address:
  • Phone: 402-517-0040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1969
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: