NPI 1346397338 · live from the CMS NPI Registry
Jacqueline Anne Anderson, Ed.S, LMHP, LPC,
Counselor, Mental Health in Gothenburg, NE. National Provider Identifier 1346397338, active.
NPI record
| NPI | 1346397338 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 408 10th St, Gothenburg, NE 69138 |
| Practice phone | 308-529-0821 |
| Mailing address | Rr 1 Box 99, Gothenburg, NE 69138 |
| Enumerated | January 4, 2007 |
| Last updated | September 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | 2756 (NE) |
| Counselor, Professional | 101YP2500X | 1465 (NE) |
| Psychologist, School | 103TS0200X | 31858 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.