JAE JOB


Address: 120 Wedgewood Dr, Lincoln, NE 68510-2431
Phone: 4024342814

JAE JOB (NPI# 1679108237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679108237
Entity Type Individual
Full Name JAE JOB
Credential CPSS
Practice Address 120 Wedgewood Dr
Lincoln
NE 68510-2431
Practice Telephone 4024342814
Mailing Telephone 4024342814
Enumeration Date 2020-03-04
Last Update Date 2020-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist CPSS-030 NE Other Service Providers

Office Location

Street Address 120 WEDGEWOOD DR
City LINCOLN
State NE
Zip Code 68510-2431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629120191 St. Monica's Substance Abuse Rehabilitation Facility 120 Wedgewood Dr, Lincoln, NE 68510-2431 2007-01-17
1962032904 Elizabeth Anne Weber Counselor 120 Wedgewood Dr, Lincoln, NE 68510-2431 2020-01-17
1952946030 Audrey Ann Gray Nurse Practitioner 120 Wedgewood Dr, Lincoln, NE 68510-2431 2019-11-12
1386109627 Kelsy Belgum Counselor 120 Wedgewood Dr, Lincoln, NE 68510-2431 2019-01-31
1821517079 Tiffany Rishaun Hicks Case Manager/Care Coordinator 120 Wedgewood Dr, Lincoln, NE 68510-2431 2017-09-19
1386182160 Elizabeth Chalenburg Counselor 120 Wedgewood Dr, Lincoln, NE 68510-2431 2017-02-01
1467811067 Eric James Harmes Counselor 120 Wedgewood Dr, Lincoln, NE 68510-2431 2016-02-11
1073985743 Natalya Young Counselor 120 Wedgewood Dr, Lincoln, NE 68510-2431 2015-10-21
1144639741 Jennifer Somers Counselor 120 Wedgewood Dr, Lincoln, NE 68510-2431 2014-08-07
1669887402 Laura Caroline Kersten Counselor 120 Wedgewood Dr, Lincoln, NE 68510-2431 2014-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659925121 Nichole Renee Boggs Pharmacist 7045 O St., Lincoln, NE 68510 2019-08-01
1700361573 Sue Marie Maxwell Licensed Practical Nurse Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 2018-09-27
1649752759 Kathryn Jean Kuzelka Licensed Practical Nurse 544 South 28th Street, Lincoln, NE 68510 2018-09-05
1013404599 Amanda Ehlers Registered Nurse Lps District Office, 5905 O Street, Lincoln, NE 68510 2018-04-19
1225535081 Jana Kathleen Mcnemar Counselor 245 South 84th Street, Suite 212, Lincoln, NE 68510 2018-04-09
1265932313 Kimberly Elwood Specialist/Technologist 2229 J St., Lincoln, NE 68510 2018-02-15
1881193266 Susan Kangas-packett Registered Nurse 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 2018-02-12
1023517000 Tara Johnson Licensed Practical Nurse Lpsdo 5905 O St, Lincoln, NE 68510 2018-02-06
1427566413 Tracy Russell Counselor 245 S 84th Street, Suite 212, Lincoln, NE 68510 2018-01-12
1447778964 Erin Elizabeth Cristello Speech-Language Pathologist 300 S 48th Street, Lincoln, NE 68510 2017-09-05
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942782990 Jennifer Anderson Peer Specialist 2615 O St Ste 4, Lincoln, NE 68510-1385 2018-09-05
1972148948 Scott Loder Peer Specialist 801 W Prospector Pl, Lincoln, NE 68522-1970 2019-11-13
1407349491 Laren Kilmer Peer Specialist 2301 O St, Lincoln, NE 68510-1124 2018-06-13
1639688112 Lisa Anne Bennett Peer Specialist 721 K St, Lincoln, NE 68508-2949 2017-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144854415 Brittany James Peer Specialist 1905 Avenue K, Scottsbluff, NE 69361-2265 2020-02-26
1023657723 Lisa Guel Peer Specialist 2350 Five Rocks Rd, Gering, NE 69341-6401 2019-12-27
1558867903 Sober Coaching, LLC Peer Specialist 444 N 76th St, Omaha, NE 68114-3154 2018-04-04
1982121919 Lakeisha Marie Phelps Peer Specialist 3568 Dodge St, Omaha, NE 68131 2017-08-30
1851908453 Krystal Mae Wright Peer Specialist 4111 4th Ave Ste 2, Kearney, NE 68845-2883 2020-09-28
1669088993 Bianca Y. Garcia Peer Specialist 3568 Dodge St Ste 2, Omaha, NE 68131-3222 2020-09-22
1083220305 Alise J. Baker Peer Specialist 3568 Dodge St Ste 2, Omaha, NE 68131-3222 2020-09-22
1427664754 Karen M Garrett Peer Specialist 3568 Dodge St Ste 2, Omaha, NE 68131-3222 2020-09-22
1801401146 Sarah Harlow Peer Specialist 910 W Park Ave, Norfolk, NE 68701-5044 2020-09-14
1124631098 Juan Cruz Peer Specialist 11550 I St Ste 100, Omaha, NE 68137-1222 2020-08-28
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Competitor

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City LINCOLN
Zip Code 68510

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Dataset Information

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.

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