JACK SELBERG
NPI 1124216130
Counselor - Addiction (Substance Use Disorder) in Atchison, KS

Active since October 04, 2007
1816 N 2ND ST, ATCHISON, KS 66002(913) 367-1618(913) 367-6224 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Selberg NPPES

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

JACK SELBERG (NPI 1124216130) is an individual addiction (substance use disorder) provider in Atchison, Kansas, licensed in Kansas (LMLP0209, LCP334) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1124216130
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK SELBERG
Location Address1816 N 2ND STAtchison, KS 66002-1004
Mailing Address1816 N 2nd StAtchison, KS 66002-1004 · (913) 367-1618 · Fax (913) 367-6224
Fax(913) 367-6224
Sole ProprietorNo
Enumeration DateOctober 4, 2007
NPI 1124216130 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 KS · LMLP0209, LCP334
1816 N 2ND ST, Atchison, KS 66002

Other Providers at the Same Location NPPES 4

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

Counselor (Addiction (Substance Use Disorder))
1816 N 2ND ST
ATCHISON, KS 66002
Substance Abuse Rehabilitation Facility
1816 N 2ND ST
ATCHISON, KS 66002
Family Medicine
1816 N 2ND ST
ATCHISON, KS 66002
Family Medicine
1816 N 2ND ST
ATCHISON, KS 66002

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 Jack Selberg's NPI number?

The NPI number for Jack Selberg is 1124216130. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Jack Selberg located?

Jack Selberg practices at 1816 N 2nd St, Atchison, KS 66002. The listed phone number is (913) 367-1618.

What is Jack Selberg'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 Jack Selberg was last updated on October 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.