MR. JARED RAY (NPI# 1831328103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831328103 |
| Entity Type | Individual |
| Full Name | MR. JARED RAY |
| Credential | LIMHP, LADC, CPC |
| Practice Address |
9100 Andermatt Drive Suite 1 Lincoln NE 68526-0000 |
| Mailing Address |
9100 Andermatt Dr Ste 1 Lincoln NE 68526-6700 |
| Practice Telephone | 4024342730 |
| Practice Fax Number | 4024343970 |
| Mailing Telephone | 4024342730 |
| Mailing Fax Number | 4024343970 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
802 | NE | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1756 | NE | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2365 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026721201 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9100 Andermatt Drive Suite 1, Lincoln, NE 685260000 | 4024342730 | 4024343970 |
| Street Address |
9100 ANDERMATT DRIVE SUITE 1 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68526-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003310061 | Pine Lake Behavioral Health, LLC. | Clinic/Center | 9100 Andermatt Drive Suite 1, Lincoln, NE 68526-0000 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251189 | Jennifer Demesquita Harrison | Nurse Practitioner | Alivation Health, 8550 Cuthills Circle, Lincoln, NE 68526 | 2019-05-22 |
| 1265954648 | Grant Essink | Dentist | 7822 South 96th Bay, Lincoln, NE 68526 | 2017-07-07 |
| 1528405719 | Charles Weston Whitten | Anesthesiology | 4546 S 86th St Ste B, Lincoln, NE 68526 | 2013-05-28 |
| 1912055112 | Hemantha Kumar Koduri | Internal Medicine | 4445 S 86th St Ste 100, Lincoln, NE 68526 | 2007-01-06 |
| 1306909585 | Melanie J Fulton | Dentist | 4525 So 86th, Ste A, Lincoln, NE 68526 | 2006-12-18 |
| 1952359812 | Kathleen Ann Packard | Pharmacist | 7440 S 91st Street, Lincoln, NE 68526 | 2006-05-04 |
| 1861932444 | Amber Walter | Advanced Practice Midwife | 9110 Andermatt Drive, Ste 2, Lincoln, NE 68526 | 2017-03-02 |
| 1801205794 | Danielle Melissa Kollasch | Physician Assistant | 8550 Cuthills Circle, Lincoln, NE 68526 | 2014-08-05 |
| 1891132700 | Michaela Irene Kadavy | Counselor | 4545 S 86th St, Lincoln, NE 68526 | 2013-05-31 |
| 1578827614 | Sams West Inc | Technician/Technologist | 8480 Andermatt Dr, Lincoln, NE 68526 | 2012-07-03 |
| Find all providers in zip 68526 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410533 | Anne Tapley, Ph.d., LLC | Counselor | 3801 Union Drive, Ste 206, Lincoln, NE 68516-6652 | 2020-09-01 |
| 1770195018 | Jolie Vega | Counselor | 8101 O St # S300, Lincoln, NE 68510-2646 | 2020-08-18 |
| 1366067068 | Alternative Avenues & Associates | Counselor | 4740 A St Ste 200, Lincoln, NE 68510-4824 | 2020-06-09 |
| 1689295560 | Mary Kay Wood, LLC | Counselor | 3611 Lowell Ave, Lincoln, NE 68506-4848 | 2020-05-01 |
| 1013540673 | Unity Youth & Family Services, LLC | Counselor | 6245 Windhaven Drive, Lincoln, NE 68512 | 2020-02-21 |
| 1336786565 | Jessica Schwartz | Counselor | 5 Old Cambridge Tpke, Lincoln, MA 01773-1804 | 2019-12-06 |
| 1518504182 | Positive Perspectives, PC | Counselor | 200 W F St, Lincoln, NE 68508-2964 | 2019-12-03 |
| 1922641471 | Kristine Anne Pothast | Counselor | 2120 S 56th St Ste 206, Lincoln, NE 68506-2118 | 2019-10-28 |
| 1841833019 | Chelsea Schutter | Counselor | 4747 Pioneers Blvd # 10d, Lincoln, NE 68506-5313 | 2019-10-21 |
| 1174180673 | Lisa Fern Mischke | Counselor | 1240 N 10th St, Lincoln, NE 68508-1125 | 2019-05-21 |
| Find all providers in LINCOLN | ||||
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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.