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MR. GARY LEE ANDERSON JR. AAS, PLADC
NPI 1134880313
Counselor in Omaha, NE

Active since January 10, 2022
11215 JOHN GALT BLVD, OMAHA, NE 68137(402) 592-5900(402) 592-5901 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gary Lee Anderson Jr. Aas, Pladc NPPES

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

MR. GARY LEE ANDERSON JR. AAS, PLADC (NPI 1134880313) is an individual counselor in Omaha, Nebraska, licensed in Nebraska (P1502) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1134880313
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. GARY LEE ANDERSON JR.Credential: AAS, PLADC
Location Address11215 JOHN GALT BLVDOmaha, NE 68137-2319
Mailing Address11215 John Galt BlvdOmaha, NE 68137-2319 · (402) 592-5900 · Fax (402) 592-5901
Phone(402) 592-5900
Fax(402) 592-5901
Sole ProprietorNo
Enumeration DateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
✔ NPI 1134880313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NE · P1502
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
11215 JOHN GALT BLVD, Omaha, NE 68137
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Other Identifiers 1

Medicaid1073874731NE

Other Providers at the Same Location NPPES 9

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

PHILESHA ANN FLEMINGS PLADC
Counselor (Addiction (Substance Use Disorder))
11215 JOHN GALT BLVD
OMAHA, NE 68137
Douglas County (402) 524-4520
MRS. ANGELA L CLEAVER PLADC
Counselor (Addiction (Substance Use Disorder))
11215 JOHN GALT BLVD
OMAHA, NE 68137
Douglas County (402) 592-5900
MRS. ANNA T THOMAS AAS, LADC
Counselor (Addiction (Substance Use Disorder))
11215 JOHN GALT BLVD
OMAHA, NE 68137
Douglas County (402) 592-5900
MRS. SHEILA LAURREN KENNEDY
Counselor (Addiction (Substance Use Disorder))
11215 JOHN GALT BLVD
OMAHA, NE 68137
Douglas County (402) 592-5900
STARRLA J HUNSCHE LPN
Licensed Practical Nurse
11215 JOHN GALT BLVD
OMAHA, NE 68137
Douglas County (402) 592-5900
DR. JOANNE M CORDWIN PHARM.D.
Pharmacist
11215 JOHN GALT BLVD
OMAHA, NE 68137
Douglas County (402) 592-5900
THERESA KAY KOEHLER PLADC
Counselor (Addiction (Substance Use Disorder))
11215 JOHN GALT BLVD
OMAHA, NE 68137
Douglas County (402) 592-5900
KIMBERLY MCNELEY
Licensed Practical Nurse
11215 JOHN GALT BLVD
OMAHA, NE 68137
Douglas County (402) 592-5900

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 Gary Anderson's NPI number?

The NPI number for Gary Anderson is 1134880313. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Gary Anderson located?

Gary Anderson practices at 11215 John Galt Blvd, Omaha, NE 68137. The listed phone number is (402) 592-5900.

What is Gary Anderson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Gary Anderson was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.