NPIMap

Organization Active NPI

Crayton C. Jirovsky, LLC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1477940682
Registry record updated Apr 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4267 Issued in NE
Legal business name
CRAYTON C. JIROVSKY, LLC
Practice address
770 N Cotner Blvd
Ste. 208
Lincoln, NE 68505-2310
Phone
(402) 640-6980
Fax
(402) 261-5405
NPI assigned
Apr 26, 2015
Last updated
Apr 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2015

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

Authorized official

Name
Mr. Crayton Conrad Jirovsky, MS.ED., LMHP, PLADCNPI 1205121134
Title
Owner, Therapist
Phone
(402) 640-6980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4267 NE Primary

Addresses

Primary practice location

770 N Cotner Blvd
Ste. 208
Lincoln, NE 68505-2310

Mailing address

770 N Cotner Blvd
Ste. 208
Lincoln, NE 68505-2310
Phone (402) 640-6980

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430006400000",
    "number": "1477940682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD",
            "address_2": "STE. 208",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052310",
            "telephone_number": "402-640-6980",
            "fax_number": "402-261-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD",
            "address_2": "STE. 208",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052310",
            "telephone_number": "402-640-6980",
            "fax_number": "402-261-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAYTON C. JIROVSKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-26",
        "last_updated": "2015-04-26",
        "status": "A",
        "authorized_official_last_name": "JIROVSKY",
        "authorized_official_first_name": "CRAYTON",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "402-640-6980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS.ED., LMHP, PLADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; 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.