GORDY J WHITCOMB — NPI 1972047074 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1972047074

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

101YM0800X (CMS E2)

Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor

Box 32 Service Location & ZIP+4

748 N MAIN ST, FREMONT, NE, 68025-5004

✓ 9-Digit EDI 837 ZIP+4 (68025-5004)

Practice Phone & Referral Fax

(402) 374-0245

Fax: (402) 564-7735

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972047074 (GORDY J WHITCOMB) 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	`1972047074` (NPI-2 Organization / Facility)
Provider / Legal Name	GORDY J WHITCOMB
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: `101YM0800X` (Counselor, Mental Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	748 N MAIN ST, FREMONT, NE, 68025-5004
Practice Telephone / Fax	Tel: (402) 374-0245 \| Fax: (402) 564-7735
Administrative Mailing Address	1481 COUNTY ROAD 29, TEKAMAH, NE, 68061-5030
Enumeration & Last Sync	Enumerated: 2016-12-07 \| CMS Record Updated: 2016-12-07
Authorized Official	GORDY WHITCOMF (owner/operator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

748 N MAIN ST, FREMONT, NE, 68025-5004

🗺️ Open in Google Maps 🏥 More Providers in FREMONT

🔒 Are you GORDY J WHITCOMB? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (101YM0800X)

What Does Taxonomy Code 101YM0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YM0800X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

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

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GORDY J WHITCOMB)

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
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: NE \| License: `436` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

GORDY J WHITCOMB (NPI #1972047074)