MEDICARE: MR. THOMAS R BARR LMHP PLADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	P517	NE
2	101YM0800X	Mental Health Counselor	2940	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	247602	OTHER	NE	MIDLANDS CHOICE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	85433	OTHER	NE	BCBS

General Provider Information

NPI Number	:	1497761167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS R BARR LMHP PLADC

Provider Business Mailing Address
First Line	:	200 EAST MAPLE AVE
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701
Country	:	US
Telephone Number	:	402-371-7175
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N 34TH ST
Second Line	:	GOOD LIFE COUNSELING
City	:	NORFOLK
State	:	NE
Zip	:	68702
Country	:	US
Telephone Number	:	402-371-3044
Fax Number	:	402-371-9643

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	09/11/2025

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