Individual provider Active NPI

Javona D Jefferson, PLMHP

  • Mental Health Counselor
  • Columbus, NE
National Provider Identifier
1033899208
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3805 25TH St
Columbus, NE 68601-2233
Phone
(402) 500-6870
Fax
(402) 500-6871
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3805 25TH St
Columbus, NE 68601-2233

Mailing address

1203 S 8TH St
Norfolk, NE 68701-5875
Phone (402) 500-6870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215001385 NE Practitioner - Mental Health Counselor 5496104440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Therapeutic Services, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1203 S 8th St
Norfolk, NE 68701
Phone (402) 371-0220

1800 W Pasewalk Ave
Ste A
Norfolk, NE 68701
Phone (402) 369-2975

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1033899208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S 8TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015875",
            "telephone_number": "402-500-6870",
            "fax_number": "402-500-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 25TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012233",
            "telephone_number": "402-500-6870",
            "fax_number": "402-500-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "JAVONA",
        "middle_name": "D",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.