Individual provider Active NPI

Jaime Weatherholt, LMHP, LCSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1346663077
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4959 Issued in NE
Practice address
120 S 24TH St Ste 100
Omaha, NE 68102-1205
Phone
(402) 342-7007
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1698 NE
Mental Health Counselor 101YM0800X 4959 NE Primary

Addresses

Primary practice location

120 S 24TH St Ste 100
Omaha, NE 68102-1205

Mailing address

120 South 24TH Street
Suite 100
Omaha, NE 68102
Phone (402) 342-7007

Other names 1

  • Jaime Dechant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170519000941 NE Practitioner - Clinical Social Worker 5890062962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5824 S 142ND St
Suite B
Omaha, NE 68137-2872
Phone (402) 235-9686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4959NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightened Counseling & Healing LLC CurrentSince Apr 6, 2020 Accepting new patients

Locations

5824 S 142nd St
Ste B
Omaha, NE 68137
Phone (402) 235-9686

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1346663077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SOUTH 24TH STREET",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68102",
            "telephone_number": "402-342-7007",
            "fax_number": "402-661-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 24TH ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021205",
            "telephone_number": "402-342-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERHOLT",
        "first_name": "JAIME",
        "credential": "LMHP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1698",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "DECHANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.