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JONNAE LUCK LIMHP LCSW LADC NPI 1720445208


NPI Information

NPI: 1720445208
Provider Name: JONNAE LUCK, LIMHP, LCSW, LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Organization: ALEGENT CREIGHTON HEALTH

PECOS Registration: Yes

Address:
4911 GRAND AVE
OMAHA, NE
ZIP 68104
Phone: (562) 746-5150
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Jonnae Luck, LIMHP, LCSW, LADC is a mental health counselor in Omaha, NE with 10 years of experience. Jonnae Luck, LIMHP, LCSW, LADC NPI is 1720445208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4911 GRAND AVE
OMAHA, NE
ZIP 68104-380
Phone: (562) 746-5150
Fax: (402) 551-8797

The NPI 1720445208 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/28/2016 and was last updated on 1/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health10719NORTH DAKOTANo
2101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
147037661200MEDICAIDNEBRASKA
210025225100MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.