Active NPI
Kathy Dee Tejcka, LMHP, MSW
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1124466503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 245 S 84TH St Ste L101
Lincoln, NE 68510-2601 - Phone
- (402) 327-0017
- NPI assigned
- Jun 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
245 S 84TH St Ste L101
Lincoln, NE 68510-2601
Mailing address
290 Ioof Ave
Gilroy, CA 95020-5204
Phone (408) 846-2100
Other practice location 1
290 Ioof Ave
Gilroy, CA 95020-5204
Phone (408) 846-2100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1122 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Change Family Therapy Center LLC | Mental Health | Past | Accepting new patients |
| Blue Valley Behavioral Health Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Beatrice, NE
- NPI 1316019508
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1093295065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1124466503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 IOOF AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "950205204",
"telephone_number": "408-846-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S 84TH ST STE L101",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102601",
"telephone_number": "402-327-0017"
}
],
"practiceLocations": [
{
"address_1": "290 Ioof Ave",
"address_purpose": "LOCATION",
"city": "Gilroy",
"state": "CA",
"postal_code": "950205204",
"country_code": "US",
"telephone_number": "408-846-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEJCKA",
"first_name": "KATHY",
"middle_name": "DEE",
"name_prefix": "Ms.",
"credential": "LMHP, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-07",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.