Jade Kelly Prusia, PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13108

Practice address

5217 S 28TH St
Omaha, NE 68107-3402

Phone

(402) 715-5446

Fax

(402) 715-5452

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

University of Nebraska College of Medicine, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• KVC Behavioral Healthcare Nebraska, Inc

  dba KVC Nebraska

  • Community/Behavioral Health Agency
  • Lincoln, NE
  • NPI 1568790483
  NPD
• KVC Behavioral Healthcare Nebraska, Inc

  dba KVC Nebraska

  • Community/Behavioral Health Agency
  • Omaha, NE
  • NPI 1912235458
  NPD
• Stephen Center, Inc.

  dba Stephen Center

  • Substance Abuse Rehabilitation Facility
  • Omaha, NE
  • NPI 1205135001
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1164145090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681073408",
            "telephone_number": "402-715-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 S 28TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681073402",
            "telephone_number": "402-715-5446",
            "fax_number": "402-715-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSIA",
        "first_name": "JADE",
        "middle_name": "KELLY",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "13108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tariq Pruitt
• Jessica Elaine Prusa Flores, M.D.
• Kathyrn Prusacki
• Thomas S Pruse, M.D.
• Donovan Prusia
• Sarah Prusmack, OTR/L, CLT
• Elizabeth Pruss, MD
• Peyton Prussa
• Brooklynn Prussing, PLMHP
• Laura Michelle Pryor, LIMHP, LPC, PLADC

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.