Theresa Arnett Nickolaus, MAC LIMHP CIMHP | |
616 13th St Ste 110, Aurora, NE 68818-2426 | |
(402) 631-7267 | |
Not Available |
Full Name | Theresa Arnett Nickolaus |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 616 13th St Ste 110, Aurora, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447540786 | NPI | - | NPPES |
10026546100 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1520 (Nebraska) | Secondary |
101YM0800X | Counselor - Mental Health | 9315 (Nebraska) | Primary |
Entity Name | Sozo Family Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811362726 PECOS PAC ID: 7315393253 Enrollment ID: O20231027002810 |
Mailing Address | Practice Location Address |
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Theresa Arnett Nickolaus, MAC LIMHP CIMHP Po Box 111, Aurora, NE 68818-0111 Ph: (402) 631-7267 | Theresa Arnett Nickolaus, MAC LIMHP CIMHP 616 13th St Ste 110, Aurora, NE 68818-2426 Ph: (402) 631-7267 |
Pamela Kaiff, LIMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 13th St, Aurora, NE 68818 Phone: 402-631-7267 | |
Annette Mcclure, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 13th St Ste 110, Aurora, NE 68818 Phone: 402-779-1173 | |
Melissa Dawn Prentice, MS LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 So 16th Street, Office B, Aurora, NE 68818 Phone: 402-694-6004 Fax: 402-694-6004 | |
Jennifer Rose James, BS, PLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 S 16th St Ste B, Aurora, NE 68818 Phone: 402-694-6445 Fax: 402-261-7149 | |
Miss Andrea Rose De La Cruz, LIMHP Counselor Medicare: Medicare Enrolled Practice Location: 302 S 16th St Ste B, Aurora, NE 68818 Phone: 402-694-6445 Fax: 402-261-7149 | |
Mrs. Chelsea Elizabeth Weir, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 16th St, Aurora, NE 68818 Phone: 402-631-7267 |