| Theresa Arnett Nickolaus, MAC LIMHP CIMHP | |
|
616 13th St Ste 110, Aurora, NE 68818-2426 | |
| (402) 631-7267 | |
| Not Available |
| Full Name | Theresa Arnett Nickolaus |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 616 13th St Ste 110, Aurora, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447540786 | NPI | - | NPPES |
| 10026546100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1520 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 9315 (Nebraska) | Primary |
| Entity Name | Sozo Family Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811362726 PECOS PAC ID: 7315393253 Enrollment ID: O20231027002810 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Arnett Nickolaus, MAC LIMHP CIMHP Po Box 111, Aurora, NE 68818-0111 Ph: (402) 631-7267 | Theresa Arnett Nickolaus, MAC LIMHP CIMHP 616 13th St Ste 110, Aurora, NE 68818-2426 Ph: (402) 631-7267 |
Pamela Kaiff, LIMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 13th St, Aurora, NE 68818 Phone: 402-631-7267 | |
Annette Mcclure, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 13th St Ste 110, Aurora, NE 68818 Phone: 402-779-1173 | |
Melissa Dawn Prentice, MS LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 So 16th Street, Office B, Aurora, NE 68818 Phone: 402-694-6004 Fax: 402-694-6004 | |
Jennifer Rose James, BS, PLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 S 16th St Ste B, Aurora, NE 68818 Phone: 402-694-6445 Fax: 402-261-7149 | |
Miss Andrea Rose De La Cruz, LIMHP Counselor Medicare: Medicare Enrolled Practice Location: 302 S 16th St Ste B, Aurora, NE 68818 Phone: 402-694-6445 Fax: 402-261-7149 | |
Mrs. Chelsea Elizabeth Weir, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 16th St, Aurora, NE 68818 Phone: 402-631-7267 |