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

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

Healthcare Provider's Profile

Full Name	Mrs Jacqueline Anne Anderson
Gender	Female
Speciality	Psychologist - School
Location	408 10th St, Gothenburg, Nebraska
Accepts Medicare Assignments	Does 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.

Identifier	Type	State	Issuer
1346397338	NPI	-	NPPES
10025003500	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2756 (Nebraska)	Primary
101YP2500X	Counselor - Professional	1465 (Nebraska)	Primary
103TS0200X	Psychologist - 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 Address	Practice 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

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