MR. JEFFREY M VIDRA (NPI# 1659336675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659336675 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY M VIDRA |
| Credential | LMHP, CPC |
| Practice Address |
333 W Norfolk Ave Ste 201 Norfolk NE 68701-5401 |
| Practice Telephone | 4023792030 |
| Practice Fax Number | 4023793933 |
| Mailing Telephone | 4023792030 |
| Mailing Fax Number | 4023793933 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
2041 | NE | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
1170 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BC/BS | 84322 | 01 |
| NE | OPTUM LIFE ERA | 113522 | 01 |
| NE | MIDLANDS CHOICE | 24147 | 01 |
| NE | 39189435426 | 05 |
| Street Address |
333 W NORFOLK AVE STE 201 |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386188985 | Barbara N Kibugi | Counselor | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5219 | 2016-12-15 |
| 1386072213 | Kim D Mccarthy | Case Manager/Care Coordinator | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5219 | 2013-11-01 |
| 1245663020 | John A Steadman | Community Health Worker | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5219 | 2013-08-15 |
| 1033469747 | Anna M Malone | Counselor | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5219 | 2012-09-11 |
| 1053688309 | Penny L Bendorf | Counselor | 333 W Norfolk Ave, Suite 201, Norfolk, NE 68701-5219 | 2011-11-30 |
| 1174823322 | Aimee S Barnes | Counselor | 333 W Norfolk Ave, Norfolk, NE 68701-5232 | 2010-10-21 |
| 1063665917 | Kirk R Carmichael | Counselor | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5219 | 2008-10-23 |
| 1851552749 | Patricia Ann True | Counselor | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5232 | 2008-06-23 |
| 1588862981 | Stephanie Ann Zakrzewski-grubb | Counselor | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5232 | 2007-07-06 |
| 1740246164 | Gina M Thurlow | Counselor | 333 W Norfolk Ave, Ste 201, Norfolk, NE 68701-5401 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183774 | Shero Counseling Agency | Counselor | 117 W 21st St Ste 215b, Norfolk, VA 23517-2246 | 2020-10-28 |
| 1518572221 | Elizabeth Ashley Magee | Counselor | 900 Shirley Ave Apt B1, Norfolk, VA 23517-1745 | 2020-09-10 |
| 1134733769 | Good Life Counseling & Support, LLC | Counselor | 3306 Raasch Avenue, Norfolk, NE 68702-2315 | 2020-09-01 |
| 1811500283 | Laura May Jessen | Counselor | 1106 W Benjamin Ave Ste 800, Norfolk, NE 68701-2748 | 2020-08-26 |
| 1629686746 | Tammy Denise Whitt | Counselor | 301 S Newtown Rd, Norfolk, VA 23502-5719 | 2020-07-14 |
| 1942820022 | Re-play Counseling, LLC | Counselor | 214 N 7th St Ste 11, Norfolk, NE 68701-4086 | 2020-04-20 |
| 1669007324 | Good Talk Counseling Services, LLC | Counselor | 104 N 3rd St Ste 200, Norfolk, NE 68701-4108 | 2020-03-03 |
| 1821639337 | Kim Marie Mcleod | Counselor | 3131 Azalea Garden Rd Ste B, Norfolk, VA 23513-2303 | 2019-10-06 |
| 1851956726 | My Thought's Therapy LLC | Counselor | 1500 E Little Creek Rd Ste Officeb, Norfolk, VA 23518-4137 | 2019-05-07 |
| 1467017608 | Angel Myers | Counselor | 4615 Pleasant Ave Unit B, Norfolk, VA 23518-1920 | 2019-05-02 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.