Individual provider Active NPI

Jodi L Gasper, LMHP

  • Counselor
  • Boys Town, NE
National Provider Identifier
1164587440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1776 Issued in NE
Practice address
14100 Crawford Rd
Boys Town, NE 68010
Phone
(402) 498-1439
Fax
(402) 439-1592
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1776 NE Primary

Addresses

Primary practice location

14100 Crawford Rd
Boys Town, NE 68010

Mailing address

555 N 30TH St
Omaha, NE 68131-2136
Phone (402) 498-6509

Other identifiers 1

IdentifierTypeStateIssuer
249933OtherNEMIDLANDS CHOICE

Other names 1

  • Ms. Jodi L Kucera Former name

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164587440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312136",
            "telephone_number": "402-498-6509",
            "fax_number": "402-498-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 CRAWFORD RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "68010",
            "telephone_number": "402-498-1439",
            "fax_number": "402-439-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPER",
        "first_name": "JODI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "1776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "249933",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "KUCERA",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boys Town, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.