Individual provider Active NPI

Jessica Reed Sorge, LIMHP, LADC

  • Mental Health Counselor
  • Sidney, NE
National Provider Identifier
1326291113
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3700 Issued in NE
Practice address
2640 El Rancho Rd
Sidney, NE 69162-2424
Phone
(402) 705-8588
NPI assigned
Oct 24, 2008
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 799 NE
Mental Health Counselor 101YM0800X 3700 NE Primary

Addresses

Primary practice location

2640 El Rancho Rd
Sidney, NE 69162-2424

Mailing address

2640 El Rancho Rd
Sidney, NE 69162-2424
Phone (402) 705-8588

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

LicenseStateTypeSpecialty
799NEMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1326291113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 EL RANCHO RD",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622424",
            "telephone_number": "402-705-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 EL RANCHO RD",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622424",
            "telephone_number": "402-705-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORGE",
        "first_name": "JESSICA",
        "middle_name": "REED",
        "name_prefix": "Ms.",
        "credential": "LIMHP, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "799",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.