Jennalee Marie Harris, PLMHP
Individual provider Active NPI Mental Health Counselor · Hebron, NE
NPI 1346794864 · NPPES record last updated Oct 19, 2018
Key facts
- NPI
- 1346794864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 10966 (NE)
- Practice address
- 6150 Highway 136 Suite 1
Hebron, NE 68370 - Phone
- (402) 853-3929
- NPI assigned
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thayer County Memorial Hospital
Practice addresses (Care Compare)
120 Park Ave
Hebron, NE 68370-2019
Phone (402) 768-6041
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240222002974 | NE | Practitioner - Mental Health Counselor | 3870937386 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10966 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thayer County Memorial Hospital | Current |
Accepting new patients | |
| Oz-Some Possibilities Counseling | Mental Health | Current | Accepting new patients |
| Thayer County Memorial Hospital | Current |
Accepting new patients |
Locations
120 Park Ave
Hebron, NE 68370
Phone (402) 768-6041
6150 Highway 136
#1
Hebron, NE 68370
Phone (402) 853-3929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10966 | NE | Yes |
Addresses
Primary practice location
6150 Highway 136 Suite 1
Hebron, NE 68370
Mailing address
6150 Highway 136 Suite 1
Hebron, NE 68370-7042
Phone (402) 853-3929
Other practice location 1
1900 F St
Geneva, NE 68361-2229
Phone (402) 759-3192
Other practice location 2
818 Church St
Chester, NE 68327-7042
Phone (402) 853-3929
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346794864 | Medicaid | NE |
Other providers in Hebron, NE
- Family First Dental Associates of Nebraska, P.C.
- Christine Marie Feltes
- Kimberly L Fintel
- Brenda Glunz
- Mae L Grahek
- Leann Heinrichs
- Cassandra Henrickson
- Bryan A Hubl
- Iiii, PC
- Kelcey Jeppson
All providers in Hebron, NE · Mental Health Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.