Individual provider Active NPI

Jason Andrew Lavene, M. ED., LIMHP, PLADC

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1003692385
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3065 Issued in NE
Practice address
2121 W 39TH St Apt 2
Kearney, NE 68845-8299
Phone
(308) 991-5014
NPI assigned
Sep 4, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-1751 NE
Professional Counselor 101YP2500X 2757 NE
Mental Health Counselor 101YM0800X 3065 NE Primary

Addresses

Primary practice location

2121 W 39TH St Apt 2
Kearney, NE 68845-8299

Mailing address

2121 W 39TH St Apt 2
Kearney, NE 68845-8299
Phone (308) 991-5014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
P-1751NEMDAddiction (Substance Use Disorder) Counselor
3065NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Creation Counseling and Recovery Services, LLC Mental Health CurrentSince Jan 14, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1003692385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W 39TH ST APT 2",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458299",
            "telephone_number": "308-991-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W 39TH ST APT 2",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458299",
            "telephone_number": "308-991-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENE",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "credential": "M. ED., LIMHP, PLADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1751",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2757",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.