Sja Menal Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SJA MENAL HEALTH LLC

Practice address

18718 Josephine St
Omaha, NE 68136-1263

Phone

(435) 238-0331

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Samantha Acosta, LIMHP, LMFT

Title

Therapist

Phone

(435) 238-0331

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1326506437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18718 JOSEPHINE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361263",
            "telephone_number": "435-238-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18718 JOSEPHINE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361263",
            "telephone_number": "435-238-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJA MENAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "435-238-0331",
        "authorized_official_credential": "LIMHP, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55499635806",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Channa Autumn Sizemore
• Jason L Sizemore
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• Scott Lee Sizenbach, D.C.
• Ann Meissner Sjulin, M.D.
• Tara Marie Sjuts, PHD
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• Nada Skaf, MD
• Matthew D. Skaff, D.C.

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.