Individual provider Active NPI

Wendy Goering-Jensen, PLMHP

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1083379200
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7505 Issued in NE
Practice address
7117 Jones Cir
Omaha, NE 68106-1000
Phone
(402) 715-5668
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12285 NE
Clinical Social Worker 1041C0700X 7505 NE Primary

Addresses

Primary practice location

7117 Jones Cir
Omaha, NE 68106-1000

Mailing address

7117 Jones Cir
Omaha, NE 68106-1000
Phone (402) 889-8873

Other names 1

  • Wendy Groat Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Wjensen@commall.org Direct

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

State licenses

LicenseStateTypeSpecialty
12285NEMDPharmacist
7505NEMDEmergency Medicine Physician

Interoperability endpoints

  • Direct secure messaging: wjensen@commall.org

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1083379200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 JONES CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681061000",
            "telephone_number": "402-889-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 JONES CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681061000",
            "telephone_number": "402-715-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERING-JENSEN",
        "first_name": "WENDY",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12285",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "7505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Wjensen@commall.org",
            "affiliation": "N",
            "endpointDescription": "Wjensen@commall.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secured email",
            "address_1": "7117 Jones Cir",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681061000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "GROAT",
            "credential": "PLMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 2, 2021; 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.