Individual provider Active NPI

Jessica J Klopper, PLMHP

  • Counselor
  • South Sioux City, NE
National Provider Identifier
1285962795
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
9008 Issued in NE
Practice address
625 E 39TH St
South Sioux City, NE 68776-3445
Phone
(402) 494-0040
Fax
(402) 494-0050
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 9008 NE Primary

Addresses

Primary practice location

625 E 39TH St
South Sioux City, NE 68776-3445

Mailing address

625 E 39TH St
South Sioux City, NE 68776-3445
Phone (402) 494-0040

Other identifiers 1

IdentifierTypeStateIssuer
9008MedicaidNE

Other names 1

  • Jessica J Synder 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": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1285962795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E 39TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763445",
            "telephone_number": "402-494-0040",
            "fax_number": "402-494-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 39TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763445",
            "telephone_number": "402-494-0040",
            "fax_number": "402-494-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPPER",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "9008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9008",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SYNDER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.