Active NPI
Jenna Lynn Lopez, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1376775320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1286
- Practice address
- 621 N 51St St
Omaha, NE 68132-2229 - Phone
- (402) 669-6341
- NPI assigned
- Aug 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8931 | NE | |
| Clinical Social Worker | 1041C0700X | 6680 | NE | |
| Mental Health Counselor | 101YM0800X | 1286 | NE | Primary |
Addresses
Primary practice location
621 N 51St St
Omaha, NE 68132-2229
Mailing address
12657 Anne St
Omaha, NE 68137-2050
Phone (402) 669-6341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6680 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Saving Institute | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1508901513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1376775320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12657 ANNE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372050",
"telephone_number": "402-669-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 N 51ST ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681322229",
"telephone_number": "402-669-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JENNA",
"middle_name": "LYNN",
"credential": "LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-10",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "8931",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "6680",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.