Professional Mental Health Services, L.L.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1541 Issued in NE

Legal business name

PROFESSIONAL MENTAL HEALTH SERVICES, L.L.C.

Practice address

3314 26TH St
Suite D
Columbus, NE 68601-2304

Phone

(402) 562-7099

NPI assigned

May 5, 2008

Last updated

May 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jolaine Lynn Edwards, LCSWNPI 1275639049

Title

Manager

Phone

(402) 562-7099

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jolaine Edwards, LCSW

  • Mental Health Counselor
  • Columbus, NE
  • NPI 1275639049
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1356517858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROBIN LN",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686016200",
            "telephone_number": "402-562-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 26TH ST",
            "address_2": "SUITE D",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012304",
            "telephone_number": "402-562-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MENTAL HEALTH SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOLAINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-562-7099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025626600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Pratt
• Jennifer Lynn Preisler, RN, BSN
• Premere Rehab LLC (Infinity Rehab)
• Ashley Presler, PHARM D.
• Elanora Faye Pritzel, OTR
• Promedcare, Inc.
• Brittni Prososki
• Gerri Putnam
• Quail Run Assisted Living LLC
• Quail Run Health and Rehab LLC

• Mental Health Counselor in Columbus, NE
• Providers in Columbus, 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 May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.