Individual provider Active NPI

Jolaine Edwards, LCSW

  • Mental Health Counselor
  • Columbus, NE
National Provider Identifier
1275639049
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1541 Issued in NE
Practice address
3314 26TH St
Suite D
Columbus, NE 68601-2304
Phone
(402) 562-7099
Fax
(402) 562-7099
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

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
Mental Health Counselor 101YM0800X 1541 NE Primary

Addresses

Primary practice location

3314 26TH St
Suite D
Columbus, NE 68601-2304

Mailing address

3314 26TH St
Suite D
Columbus, NE 68601-2304
Phone (402) 562-7099

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
I20080724000047 NE Practitioner - Clinical Social Worker 6305919374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3314 26TH St
Suite D
Columbus, NE 68601-2331
Phone (402) 562-7099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Mental Health Services, L.L.C. Mental Health CurrentSince May 15, 2001 Accepting new patients

Locations

3314 26th St
Ste D
Columbus, NE 68601
Phone (402) 562-7099

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275639049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 26TH ST",
            "address_2": "SUITE D",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012304",
            "telephone_number": "402-562-7099",
            "fax_number": "402-562-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 26TH ST",
            "address_2": "SUITE D",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012304",
            "telephone_number": "402-562-7099",
            "fax_number": "402-562-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOLAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.