Active NPI
Catherine Margaret Jackson, LPMHP
- Mental Health Counselor
- Bellevue, NE
National Provider Identifier
1134483589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9683
- Practice address
- 1508 J F Kennedy Dr Ste 207-4
Bellevue, NE 68005-6611 - Phone
- (402) 763-9722
- NPI assigned
- Jun 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 9683 | NE | Primary |
Addresses
Primary practice location
1508 J F Kennedy Dr Ste 207-4
Bellevue, NE 68005-6611
Mailing address
6718 Hillcrest LN
La Vista, NE 68128-4340
Phone (402) 592-0460
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1134483589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6718 HILLCREST LN",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681284340",
"telephone_number": "402-592-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 J F KENNEDY DR STE 207-4",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680056611",
"telephone_number": "402-763-9722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CATHERINE",
"middle_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "LPMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-30",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "9683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.