JESSICA LYNETTE PETERSEN LIMHP LMHP CMSW NPI 1699555243

NPI Information

NPI: 1699555243
Provider Name: JESSICA LYNETTE PETERSEN, LIMHP, LMHP, CMSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
11204 DAVENPORT ST STE 200
OMAHA, NE
ZIP 68154
Phone: (402) 356-3332
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Jessica Lynette Petersen, LIMHP, LMHP, CMSW is a mental health counselor in Omaha, NE. Jessica Lynette Petersen, LIMHP, LMHP, CMSW NPI is 1699555243. 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:

11204 DAVENPORT ST STE 200
OMAHA, NE
ZIP 68154-658
Phone: (402) 356-3332

The enumeration date for this NPI number is 10/2/2023 and was last updated on 10/2/2023.

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
1	104100000X	Social Worker		2846	NEBRASKA	No
2	1041C0700X	Social Worker	Clinical	2246	NEBRASKA	No
3	101YM0800X	Counselor	Mental Health	3326	NEBRASKA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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