JERICHO COUNSELING ASSOCIATES (NPI# 1649493933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649493933 |
| Entity Type | Organization |
| Organization Name | JERICHO COUNSELING ASSOCIATES |
| Practice Address |
1941 S 42nd St Ste 538 Omaha NE 68105-2945 |
| Practice Telephone | 4023447000 |
| Practice Fax Number | 4023448089 |
| Mailing Telephone | 4023447000 |
| Mailing Fax Number | 4023448089 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | MR. LARRY JAMES DUNCAN (EXECUTIVE) |
| Authorized Official Telephone | 4023447000 |
| Authorized Official Credential | MHR, LADC, LMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
385 | NE | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2166 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100254608-00 | 05 |
| Street Address |
1941 S 42ND ST STE 538 |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215009857 | Jennifer Sharp | Counselor | 1941 S 42nd St Ste 538, Omaha, NE 68105-2945 | 2006-11-15 |
| 1194169722 | Komi Amededji | Counselor | 1941 S 42nd St Ste 538, Omaha, NE 68105-2945 | 2013-04-25 |
| 1003151184 | Veronica D Woods | Community Health Worker | 1941 S 42nd St Ste 538, Omaha, NE 68105-2945 | 2012-11-30 |
| 1134463714 | Alpha Life Improvement Services | Case Management | 1941 S 42nd St Ste 538, Omaha, NE 68105-2945 | 2012-11-20 |
| 1780939926 | Allana M Smith | Community Health Worker | 1941 S 42nd St Ste 538, Omaha, NE 68105-2945 | 2012-07-13 |
| 1306191549 | Eustacia Moss | Community Health Worker | 1941 S 42nd St Ste 538, Omaha, NE 68105-2945 | 2012-07-13 |
| 1003075540 | Alphaomega Counseling&consulting | Counselor | 1941 S 42nd St Ste 538, Omaha, NE 68105-2945 | 2008-06-09 |
| 1689738031 | Larry James Duncan | Counselor | 1941 S 42nd St Ste 538, Center Mall, Omaha, NE 68105-2945 | 2006-12-20 |
| 1265591796 | Longfellow Marquez | Counselor | 1941 S 42nd St Ste 538, Omaha, NE 68105-2945 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023321 | Omaha Mental Health LLC | Counselor | 12305 Gold St Ste 13, Omaha, NE 68144-2760 | 2020-11-04 |
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1497368476 | Jennifer Cherney | Counselor | 9218 Bedford Ave, Omaha, NE 68134-4726 | 2020-08-28 |
| 1356959530 | Wonderful Counselor | Counselor | 1524 Cuming St Apt 309, Omaha, NE 68102-4435 | 2020-07-14 |
| 1295357069 | Tracy N Gilman | Counselor | 42nd and Dewey St, Omaha, NE 68198-1023 | 2020-05-14 |
| 1609498609 | Moreno Therapy, PC, LLC | Counselor | 2620 N 132nd Ave, Omaha, NE 68164-4023 | 2020-05-12 |
| 1992334494 | Benjamin Daniel Wright | Counselor | 6206 S 37th St, Omaha, NE 68107-3840 | 2020-04-06 |
| 1558995662 | Cord Where Science Meets Connection LLC | Counselor | 10826 Old Mill Rd Ste 103a, Omaha, NE 68154-2660 | 2020-02-27 |
| 1124652656 | Be Kind Counseling LLC | Counselor | 4917 Underwood Ave # 3, Omaha, NE 68132-2421 | 2020-02-24 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.