Provider Demographics
NPI:1013738681
Name:HARGREAVES, JOHN FREDERICK JR (LIMHP, LPC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:FREDERICK
Last Name:HARGREAVES
Suffix:JR
Gender:M
Credentials:LIMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 BOSTON CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1558
Mailing Address - Country:US
Mailing Address - Phone:402-440-5233
Mailing Address - Fax:
Practice Address - Street 1:5715 S 34TH ST STE 500
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6654
Practice Address - Country:US
Practice Address - Phone:402-205-5677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3661101YM0800X
NE2925101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional