Individual provider Active NPI

Jennalee Marie Harris, PLMHP

  • Mental Health Counselor
  • Hebron, NE
National Provider Identifier
1346794864
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10966 Issued in NE
Practice address
6150 Highway 136 Suite 1
Hebron, NE 68370
Phone
(402) 853-3929
NPI assigned
Aug 12, 2016
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10966 NE Primary

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

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
I20240222002974 NE Practitioner - Mental Health Counselor 3870937386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thayer County Memorial HospitalGroup PAC ID 3577559145, 11 clinicians

Practice addresses (Care Compare)

120 Park Ave
Hebron, NE 68370-2019
Phone (402) 768-6041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10966NEMDMental Health Counselor
2615NEMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thayer County Memorial Hospital CurrentSince Jan 17, 2024 Accepting new patients
Thayer County Memorial Hospital CurrentSince Jan 17, 2024 Accepting new patients
Oz-Some Possibilities Counseling Mental Health 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

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1346794864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 HIGHWAY 136 SUITE 1",
            "city": "HEBRON",
            "state": "NE",
            "postal_code": "683707042",
            "telephone_number": "402-853-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 HIGHWAY 136 SUITE 1",
            "city": "HEBRON",
            "state": "NE",
            "postal_code": "68370",
            "telephone_number": "402-853-3929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 F St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NE",
            "postal_code": "683612229",
            "country_code": "US",
            "telephone_number": "402-759-3192",
            "fax_number": "402-759-3186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 Church St",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "NE",
            "postal_code": "683277042",
            "country_code": "US",
            "telephone_number": "402-853-3929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNALEE",
        "middle_name": "MARIE",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, NE

Sources for this page

Verify at the official NPI Registry.