Mrs Jacqueline Anne Anderson, EDS, LMHP, LPC, - Counselor in Gothenburg, NE

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Mrs Jacqueline Anne Anderson, EDS, LMHP, LPC, is a Psychologist - School based in Gothenburg, Nebraska. Mrs Jacqueline Anne Anderson is licensed to practice in Nebraska (license number 31858) and her current practice location is 408 10th St, Gothenburg, Nebraska. She can be reached at her office (for appointments etc.) via phone at (308) 529-0821.

NPI number for Mrs Jacqueline Anne Anderson is 1346397338 and her current mailing address is Rr 1 Box 99, Gothenburg, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346397338.

Contact Information

Mrs Jacqueline Anne Anderson, EDS, LMHP, LPC,
408 10th St,
Gothenburg, NE 69138-1922
(308) 529-0821
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Jacqueline Anne Anderson
GenderFemale
SpecialityPsychologist - School
Location408 10th St, Gothenburg, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346397338
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mrs Jacqueline Anne Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346397338NPI-NPPES
10025003500MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 2756 (Nebraska)Primary
101YP2500XCounselor - Professional 1465 (Nebraska)Primary
103TS0200XPsychologist - School 31858 (Nebraska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Anne Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jacqueline Anne Anderson, EDS, LMHP, LPC,
Rr 1 Box 99,
Gothenburg, NE 69138-9607

Ph: (308) 537-2585		Mrs Jacqueline Anne Anderson, EDS, LMHP, LPC,
408 10th St,
Gothenburg, NE 69138-1922

Ph: (308) 529-0821

Reviews and Comments


Psychologist in Gothenburg, NE


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