Healthcare Provider Details

I. General information

NPI: 1093529679
Provider Name (Legal Business Name): AMBER ADAMSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 ILLINOIS ST
SIDNEY NE
69162-1747
US

IV. Provider business mailing address

1143 ROSE ST
SIDNEY NE
69162-2538
US

V. Phone/Fax

Practice location:
  • Phone: 308-250-0824
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number14986
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: