Crayton C. Jirovsky, LLC

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

Organization subpart

No

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, PLADC

Title

Owner, Therapist

Phone

(402) 640-6980

Specialties & licenses 1

Addresses

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": []
}

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• 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.