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MAT LAVERN ZOLLICOFFER
NPI 1851939565
Counselor - Addiction (Substance Use Disorder) in Omaha, NE

Active since December 12, 2019
1502 N 58TH ST, OMAHA, NE 68104(402) 556-6425 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mat Lavern Zollicoffer NPPES

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

MAT LAVERN ZOLLICOFFER (NPI 1851939565) is an individual addiction (substance use disorder) provider in Omaha, Nebraska, licensed in Nebraska (P-1639) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1851939565
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMAT LAVERN ZOLLICOFFER
Location Address1502 N 58TH STOmaha, NE 68104-4820
Mailing Address1502 N 58th StOmaha, NE 68104-4820 · (402) 556-6425
Phone(402) 556-6425
Sole ProprietorNo
Enumeration DateDecember 12, 2019
✔ NPI 1851939565 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 · P-1639
1502 N 58TH ST, Omaha, NE 68104
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Other Providers at the Same Location NPPES 3

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

TYLER SCOTT HACKETT
Counselor (Addiction (Substance Use Disorder))
1502 N 58TH ST
OMAHA, NE 68104
Douglas County (402) 556-6425
RON SMITH
Counselor (Addiction (Substance Use Disorder))
1502 N 58TH ST
OMAHA, NE 68104
Douglas County (402) 556-6425
BART SULLIVAN
Counselor (Addiction (Substance Use Disorder))
1502 N 58TH ST
OMAHA, NE 68104
Douglas County (402) 556-6425

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 Mat Zollicoffer's NPI number?

The NPI number for Mat Zollicoffer is 1851939565. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Mat Zollicoffer located?

Mat Zollicoffer practices at 1502 N 58th St, Omaha, NE 68104. The listed phone number is (402) 556-6425.

What is Mat Zollicoffer'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 Mat Zollicoffer was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.