Individual provider Active NPI

Jesika Maly

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1437533601
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3475 Issued in NE
Practice address
13911 Gold Cir Ste 220
Omaha, NE 68144-2376
Phone
(402) 690-8515
NPI assigned
Jul 16, 2015
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 3475 NE Primary

Addresses

Primary practice location

13911 Gold Cir Ste 220
Omaha, NE 68144-2376

Mailing address

13911 Gold Cir Ste 220
Omaha, NE 68144-2376
Phone (402) 690-8515

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

LicenseStateTypeSpecialty
3475NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RCR Counseling LLC Mental Health CurrentSince Sep 23, 2024 Accepting new patients
Stephanie Huckins LLC Mental Health PastSince Sep 23, 2024 Accepting new patients

Locations

11605 Arbor St
Ste 106
Omaha, NE 68144
Phone (402) 330-0960

13911 Gold Cir
Ste 220
Omaha, NE 68144
Phone (402) 690-8515

Organizations & group practices 2

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1437533601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 GOLD CIR STE 220",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442376",
            "telephone_number": "402-690-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 GOLD CIR STE 220",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442376",
            "telephone_number": "402-690-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALY",
        "first_name": "JESIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3475",
            "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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.