Organization Active NPI

Jackson Consulting LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1063950749
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JACKSON CONSULTING LLC
Practice address
8031 West Center Road
#207
Omaha, NE 68124
Phone
(402) 415-4150
Fax
(402) 377-7111
NPI assigned
Feb 2, 2017
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Tara M Jackson-Sanders, DIRECTOR OF OPERATIO
Title
Director
Phone
(402) 321-9225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NE Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

8031 West Center Road
#207
Omaha, NE 68124

Mailing address

8031 West Center Road
#207
Omaha, NE 68124
Phone (402) 415-4150

National Provider Directory

National Provider Directory

Locations

8031 W Center Rd
Ste 207
Omaha, NE 68124
Phone (402) 415-4150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1063950749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 WEST CENTER ROAD",
            "address_2": "#207",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68124",
            "telephone_number": "402-415-4150",
            "fax_number": "402-377-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 WEST CENTER ROAD",
            "address_2": "#207",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68124",
            "telephone_number": "402-415-4150",
            "fax_number": "402-377-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON-SANDERS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-321-9225",
        "authorized_official_credential": "DIRECTOR OF OPERATIO"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 3, 2017; 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.