NPIMap

Organization Active NPI

Jessie Gutierrez Clinical Therapy Services

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1053886499
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JESSIE GUTIERREZ CLINICAL THERAPY SERVICES
Practice address
10824 Old Mill Rd Ste 10-10
Omaha, NE 68154-2642
Phone
(402) 830-2819
NPI assigned
Oct 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Jessie Gutierrez, LCSW, LMHPNPI 1235604406
Title
Owner/Clinical Therapist
Phone
(402) 830-2819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10824 Old Mill Rd Ste 10-10
Omaha, NE 68154-2642

Mailing address

10824 Old Mill Rd Ste 10-10
Omaha, NE 68154-2642
Phone (402) 830-2819

National Provider Directory

National Provider Directory

Locations

10824 Old Mill Rd
Ste 1010
Omaha, NE 68154
Phone (402) 290-2861

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1053886499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10824 OLD MILL RD STE 10-10",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542642",
            "telephone_number": "402-830-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10824 OLD MILL RD STE 10-10",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542642",
            "telephone_number": "402-830-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE GUTIERREZ CLINICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "402-830-2819",
        "authorized_official_credential": "LCSW, LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.