Organization Active NPI

Jimmie Joann Larson PC

  • Mental Health Counselor
  • York, NE
National Provider Identifier
1295473346
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JIMMIE JOANN LARSON PC
Practice address
1100 N Lincoln Ave Ste F
York, NE 68467-1743
Phone
(402) 759-3802
Fax
(402) 759-3803
NPI assigned
May 26, 2022
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Jimmie Larson, LIMHPNPI 1942948187
Title
President
Phone
(402) 366-5432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1100 N Lincoln Ave Ste F
York, NE 68467-1743

Mailing address

1100 N Lincoln Ave Ste F
York, NE 68467-1743
Phone (402) 759-3802

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mail.google.com/mail/u/0/#inbox

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227000982 NE Part B Supplier - Clinic/Group Practice 6002251329 Receives reassigned benefits from 1 practitioner
Practice locations: York, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1295473346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N LINCOLN AVE STE F",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671743",
            "telephone_number": "402-759-3802",
            "fax_number": "402-759-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N LINCOLN AVE STE F",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671743",
            "telephone_number": "402-759-3802",
            "fax_number": "402-759-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMIE JOANN LARSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-366-5432",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.google.com/mail/u/0/#inbox",
            "affiliation": "N",
            "address_1": "1100 N Lincoln Ave Ste F",
            "city": "York",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684671743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.