Jessie Beaugard, LIMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10951 Issued in NE

Practice address

5217 S 28TH St
Omaha, NE 68107-3402

Phone

(402) 715-5460

Fax

(402) 715-5452

NPI assigned

Sep 1, 2017

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049

  IA, NE

  Medicare reassignment Care Compare group NPD
• New Health Counseling

  • Mental Health Counselor
  • Scottsbluff, NE
  • NPI 1164399481
  NPD (past)
• Stephen Center, Inc.

  dba Stephen Center

  • Substance Abuse Rehabilitation Facility
  • Omaha, NE
  • NPI 1205135001
  NPD (past)

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1457879173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 S 187TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353546",
            "telephone_number": "402-689-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 S 28TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681073402",
            "telephone_number": "402-715-5460",
            "fax_number": "402-715-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11218 Elm St Ste A",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681444745",
            "country_code": "US",
            "telephone_number": "402-238-6096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4921 S 187th Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681353546",
            "country_code": "US",
            "telephone_number": "402-689-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUGARD",
        "first_name": "JESSIE",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Beaudin, PTA
• Linda J Beaudin, CCC-SLP
• Rebecca Kai Beaudoin, RD LMNT
• Brittany Leigh Beaudrie, DO
• Nakia Beauford
• Rodney Beaugard
• Sherry L Beaugard
• Maria Beaulieu
• Beautiful Life Adult Care LLC (Beautiful Life Adult Center)
• Beautiful Life DD Services

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, 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 Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.