Individual provider Active NPI

Janice Marie Zoucha-Jensen, LMHC LADC LCSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1205820263
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
760 Issued in NE
Practice address
1806 N 110TH Ave
Omaha, NE 68154-1608
Phone
(402) 616-1720
Fax
(402) 504-3868
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 335 NE
Mental Health Counselor 101YM0800X 498 NE
Clinical Social Worker 1041C0700X 619 NE
Mental Health Counselor 101YM0800X 760 NE Primary

Addresses

Primary practice location

1806 N 110TH Ave
Omaha, NE 68154-1608

Mailing address

1806 N 110TH Ave
Omaha, NE 68154-1608
Phone (402) 616-1720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20210413002294 IA Practitioner - Clinical Social Worker 9436567310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Connections IncGroup PAC ID 9234550419, 15 clinicians

Practice addresses (Care Compare)

22060 221St St
Suite 100
Glenwood, IA 51534-5389
Phone (712) 527-2823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
760NEMDPsychologist
619NEMDClinical Social Worker
335NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Family Connections, Inc CurrentSince Apr 1, 2021 Accepting new patients

Locations

1720 N 16th St
Ste K
Council Bluffs, IA 51501
Phone (712) 256-4420

500 Willow Ave
Ste 305
Council Bluffs, IA 51503
Phone (712) 256-4420

22060 221st St
#100
Glenwood, IA 51534

304 S Locust St
Glenwood, IA 51534
Phone (712) 527-2823

1109 Highland Ave
Red Oak, IA 51566
Phone (712) 623-4893

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1205820263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N 110TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541608",
            "telephone_number": "402-616-1720",
            "fax_number": "402-504-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N 110TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541608",
            "telephone_number": "402-616-1720",
            "fax_number": "402-504-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOUCHA-JENSEN",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMHC LADC LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "335",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "498",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "619",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.