ANNE-MARIE DALE COUNSELING SERVICES — NPI 1396583720 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1396583720

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

101YP2500X (CMS E2)

Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor

Box 32 Service Location & ZIP+4

3811 CENTRAL AVE STE B, KEARNEY, NE, 68847-8173

✓ 9-Digit EDI 837 ZIP+4 (68847-8173)

Practice Phone & Referral Fax

(308) 236-8987

Fax: (855) 838-8884

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1396583720 (ANNE-MARIE DALE COUNSELING SERVICES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1396583720` (NPI-2 Organization / Facility)
Provider / Legal Name	ANNE-MARIE DALE COUNSELING SERVICES
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: `101YP2500X` (Counselor, Professional)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3811 CENTRAL AVE STE B, KEARNEY, NE, 68847-8173
Practice Telephone / Fax	Tel: (308) 236-8987 \| Fax: (855) 838-8884
Administrative Mailing Address	PO BOX 22, PLEASANTON, NE, 68866-0022
Enumeration & Last Sync	Enumerated: 2024-07-18 \| CMS Record Updated: 2024-07-18
Authorized Official	DEB VAVRA (Billing Specialist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3811 CENTRAL AVE STE B, KEARNEY, NE, 68847-8173

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Plain-English Taxonomy & CMS Crosswalk (101YP2500X)

What Does Taxonomy Code 101YP2500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code E2 (Licensed Professional Counselor)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Professional for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANNE-MARIE DALE COUNSELING SERVICES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANNE-MARIE DALE COUNSELING SERVICES (NPI #1396583720)