MEDICARE: WILLIAM JOHN CHLEBORAD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	14568	NE

General Provider Information

NPI Number	:	1255293544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM JOHN CHLEBORAD

Provider Business Mailing Address
First Line	:	9403 SPRING CREEK DR
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68147-8429
Country	:	US
Telephone Number	:	402-578-9750
Fax Number	:

Provider Business Practice Location Address
First Line	:	955 N ADAMS ST STE 8
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68046-3080
Country	:	US
Telephone Number	:	531-444-1963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

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Directions to “ WILLIAM JOHN CHLEBORAD ” Practice Location

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