NPIMap

Organization Active NPI

JCB Therapy LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1144767245
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1115 Issued in NE
Legal business name
JCB THERAPY LLC
Practice address
11605 W Dodge Rd Ste 4
Omaha, NE 68154-2566
Phone
(402) 881-6050
Fax
(531) 999-2356
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Jayna Baczwaski
Title
Owner
Phone
(402) 881-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1115 NE Primary

Addresses

Primary practice location

11605 W Dodge Rd Ste 4
Omaha, NE 68154-2566

Mailing address

11605 W Dodge Rd Ste 4
Omaha, NE 68154-2566
Phone (402) 881-6050

Other practice location 1

10840 Old Mill Rd
Suite 300
Omaha, NE 68154-2646
Phone (402) 290-5069

National Provider Directory

National Provider Directory

Locations

10840 Old Mill Rd
Ste 300
Omaha, NE 68154
Phone (402) 253-9936

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1144767245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 W DODGE RD STE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542566",
            "telephone_number": "402-881-6050",
            "fax_number": "531-999-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 W DODGE RD STE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542566",
            "telephone_number": "402-881-6050",
            "fax_number": "531-999-2356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10840 Old Mill Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681542646",
            "country_code": "US",
            "telephone_number": "402-290-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JCB THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "BACZWASKI",
        "authorized_official_first_name": "JAYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-881-6050"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1115",
            "primary": true
        }
    ],
    "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 Nov 20, 2019; 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.