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MRS. PAMELA MAE PEDERSEN LADC
NPI 1114007259
Counselor - Addiction (Substance Use Disorder) in York, NE

Active since October 16, 2006
722 S LINCOLN AVE, SUITE 1, YORK, NE 68467(402) 362-6128(402) 362-7012 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Pamela Mae Pedersen Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PAMELA MAE PEDERSEN LADC (NPI 1114007259) is an individual addiction (substance use disorder) provider in York, Nebraska, licensed in Nebraska (326) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114007259
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. PAMELA MAE PEDERSENCredential: LADC
Location Address722 S LINCOLN AVE, SUITE 1York, NE 68467-4216
Mailing Address71 Kuester LakeGrand Island, NE 68801 · (308) 382-5356
Phone(402) 362-6128
Fax(402) 362-7012
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 20, 2007
✔ NPI 1114007259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NE · 326
722 S LINCOLN AVE, York, NE 68467
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Other Identifiers 4

Medicaid47052851582NE
Medicaid47052851517NE
Other85276Bcbs
Medicaid47052851509NE

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RACHEL MICHELLE KOEPKE P.L.M.H.P.
Counselor (Mental Health)
722 S LINCOLN AVE, SUITE 1
YORK, NE 68467
York County (402) 362-6128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Pedersen's NPI number?

The NPI number for Pamela Pedersen is 1114007259. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Pamela Pedersen located?

Pamela Pedersen practices at 722 S Lincoln Ave Suite 1, York, NE 68467. The listed phone number is (402) 362-6128.

What is Pamela Pedersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Pamela Pedersen was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.