Julie Ross, LCSW, LMHP, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

918 Issued in NE

Legal business name

JULIE ROSS, LCSW, LMHP, LLC

Practice address

1627 E Military Ave Ste 200
Fremont, NE 68025-5490

Phone

(402) 727-4886

Fax

(402) 727-4146

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Julie Diane Ross, LCSW, LMHP

Title

Licensed Clinical Social Worker

Phone

(402) 727-1681

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1235648668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 PARKVIEW DR",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254484",
            "telephone_number": "402-727-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 E MILITARY AVE STE 200",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255490",
            "telephone_number": "402-727-4886",
            "fax_number": "402-727-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE ROSS, LCSW, LMHP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "402-727-1681",
        "authorized_official_credential": "LCSW, LMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NE",
            "license": "918",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NE",
            "license": "918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50778753927",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Jones, RBT
• Rebecca B Jones, PA-C
• Jackie Jordan
• Lynette Jorn
• Bryn Joseph, M.S. CF-SLP
• Amber Christine Juricek, DNP, FNP-C
• Anne M Kabes, CRNA
• Samira Kamal, PHARM.D.
• April L Kardisco, RN
• Karen S Russell

• Adult Mental Health Clinic/Center in Fremont, NE
• Providers in Fremont, NE by specialty
• Adult Mental Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.