NPIMap

Individual provider Active NPI

Jodi Lynn Kehler, MSW, LMHP, CMSW

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1104083237
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1366 Issued in NE
Practice address
4545 S 86TH St
Lincoln, NE 68526-9227
Phone
(402) 483-6990
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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 1095 NE
Clinical Social Worker 1041C0700X 1366 NE Primary

Addresses

Primary practice location

4545 S 86TH St
Lincoln, NE 68526-9227

Mailing address

4545 S 86TH St
Lincoln, NE 68526-9227
Phone (402) 483-6990

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1095NEMDChiropractor
1366NEMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Psychology Associates, PC PastSince Dec 8, 2014 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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1104083237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 S 86TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269227",
            "telephone_number": "402-483-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 S 86TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269227",
            "telephone_number": "402-483-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHLER",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "MSW, LMHP, CMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1095",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.