Active NPI
Michelle M. Jewell, LMHP
- Counselor
- Omaha, NE
National Provider Identifier
1295749869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3065
- Practice address
- 11329 P St
Suite 105
Omaha, NE 68137-2315 - Phone
- (402) 597-2350
- Fax
- (402) 597-2351
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3065 | NE | Primary |
Addresses
Primary practice location
11329 P St
Suite 105
Omaha, NE 68137-2315
Mailing address
11329 P St
Suite 105
Omaha, NE 68137-2315
Phone (402) 597-2350
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3065 | NE | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1295749869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11329 P ST",
"address_2": "SUITE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372315",
"telephone_number": "402-597-2350",
"fax_number": "402-597-2351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11329 P ST",
"address_2": "SUITE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372315",
"telephone_number": "402-597-2350",
"fax_number": "402-597-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "MICHELLE",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "3065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.