JESSE THOMAS JUNG GLACKIN PLMHP NPI 1669199170

NPI Information

  • NPI: 1669199170
  • Provider Name: JESSE THOMAS JUNG GLACKIN, PLMHP
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 5705 W DODGE RD SUITE 102
    OMAHA, NE
    ZIP 68134
  • Phone: (402) 575-5577

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NPI Details

Jesse Thomas Jung Glackin, PLMHP is a mental health counselor in Omaha, NE. Jesse Thomas Jung Glackin, PLMHP NPI is 1669199170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5705 W DODGE RD SUITE 102
OMAHA, NE
ZIP 68134-811
Phone: (402) 575-5577

The enumeration date for this NPI number is 10/25/2022 and was last updated on 10/25/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health13196NEBRASKAYes

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: 3/30/2025

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