Provider Demographics
NPI:1619277209
Name:NELSON, PATRICIA (NCC, LPC, LIMHP)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:NCC, LPC, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 ROAD 173
Mailing Address - Street 2:
Mailing Address - City:CHAPPELL
Mailing Address - State:NE
Mailing Address - Zip Code:69129-6805
Mailing Address - Country:US
Mailing Address - Phone:402-302-0813
Mailing Address - Fax:402-387-7589
Practice Address - Street 1:2280 ROAD 173
Practice Address - Street 2:
Practice Address - City:CHAPPELL
Practice Address - State:NE
Practice Address - Zip Code:69129-6805
Practice Address - Country:US
Practice Address - Phone:402-302-0813
Practice Address - Fax:402-387-7589
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2025-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4180101YM0800X
CO5646101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC29496OtherNATIONAL BOARD FOR CERTIFIED COUNSELORS
CO5646OtherLICENSED PROFESSIONAL COUNSELOR
CO5646OtherLICENSED PROFESSIONAL COUNSELOR