Individual provider Active NPI

Jessica Lynn Womach

  • Counselor
  • Omaha, NE
National Provider Identifier
1144977109
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12922 Issued in NE
Practice address
4545 Dodge St
Omaha, NE 68132-3232
Phone
(402) 889-2915
NPI assigned
Mar 9, 2022
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 12922 NE Primary

Addresses

Primary practice location

4545 Dodge St
Omaha, NE 68132-3232

Mailing address

4545 Dodge St
Omaha, NE 68132-3232
Phone (402) 889-2915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216002901 NE Practitioner - Mental Health Counselor 8123554003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Beginnings Counseling Omaha Metro LLCGroup PAC ID 8224474150, 10 clinicians

Practice addresses (Care Compare)

11414 W Ctr Rd
Suite 247
Omaha, NE 68144-4420
Phone (402) 598-9601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12922NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling Omaha Metro LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

11414 W Center Rd
Ste 247
Omaha, NE 68144
Phone (402) 598-9601

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1144977109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323232",
            "telephone_number": "402-889-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323232",
            "telephone_number": "402-889-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACH",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "12922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.