Jack Selberg, - Counselor in Atchison, KS

Jack Selberg, is a Counselor - Addiction (substance Use Disorder) based in Atchison, Kansas. Jack Selberg is licensed to practice in Kansas (license number LMLP0209, LCP334) and his current practice location is 1816 N 2nd St, Atchison, Kansas. He can be reached at his office (for appointments etc.) via phone at (913) 367-1618.

NPI number for Jack Selberg is 1124216130 and his current mailing address is 1816 N 2nd St, Atchison, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124216130.

Contact Information

Jack Selberg,
1816 N 2nd St,
Atchison, KS 66002-1004
(913) 367-1618
(913) 367-6224

Healthcare Provider's Profile

Full NameJack Selberg
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1816 N 2nd St, Atchison, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124216130
  • Provider Enumeration Date: 10/04/2007
  • Last Update Date: 10/04/2007

Medical Identifiers

Medical identifiers for Jack Selberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124216130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LMLP0209, LCP334 (Kansas)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. Jack Selberg 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
Jack Selberg,
1816 N 2nd St,
Atchison, KS 66002-1004

Ph: (913) 367-1618
Jack Selberg,
1816 N 2nd St,
Atchison, KS 66002-1004

Ph: (913) 367-1618

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› Verified 7 days ago


Counselor in Atchison, KS

Dillan Soph, LCAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1816 N 2nd St, Atchison, KS 66002
Phone: 913-367-1618    
Jennifer D Cavin, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 104 N 6th St, Suite 7, Atchison, KS 66002
Phone: 913-367-0105    Fax: 913-367-3959
Lauren Mackenzie Graham, LMSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1412 N 2nd St, Atchison, KS 66002
Phone: 913-367-4879    
Ginger Jo James, LCP CADC-I
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 201 Main St, Atchison, KS 66002
Phone: 913-367-1593    
Mr. Elmer Fangman, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1225 N 2nd St, Atchison, KS 66002
Phone: 913-367-0105    Fax: 913-367-0105
Patricia Wick,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 201 Main St, Atchison, KS 66002
Phone: 913-367-1593    

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