Individual provider Active NPI

Jodee Ann Hayes, LCSW

  • Mental Health Counselor
  • Hastings, NE
National Provider Identifier
1235345398
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
811 Issued in NE
Practice address
611 Westlawn Ave
Hastings, NE 68901-4728
Phone
(402) 984-9301
Fax
(308) 382-5315
NPI assigned
May 15, 2007
Last updated
Oct 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3341 NE
Mental Health Counselor 101YM0800X 811 NE Primary
Clinical Social Worker 1041C0700X 1267 NE

Addresses

Primary practice location

611 Westlawn Ave
Hastings, NE 68901-4728

Mailing address

611 Westlawn Ave
Hastings, NE 68901-4728
Phone (402) 984-9301

Other identifiers 1

IdentifierTypeStateIssuer
10026321900MedicaidNE

Other names 1

  • Jodee A Gerritsen Former name

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
I20070705000318 NE Practitioner - Clinical Social Worker 4880794817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3341NEMDMental Health Counselor
1267NEMDSpeech-Language Pathologist
811NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Counseling, P.C. Mental Health CurrentSince Jun 20, 2022 Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Locations

620 N 48th St
Ste 202
Lincoln, NE 68504
Phone (402) 489-6196

Organizations & group practices 2

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1235345398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WESTLAWN AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014728",
            "telephone_number": "402-984-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WESTLAWN AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014728",
            "telephone_number": "402-984-9301",
            "fax_number": "308-382-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JODEE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3341",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "811",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026321900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODEE",
            "last_name": "GERRITSEN",
            "middle_name": "A",
            "credential": "PLCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.