Organization Active NPI

Jea Theis Therapy, LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1497459333
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JEA THEIS THERAPY, LLC
Practice address
3031 S 87TH St
Omaha, NE 68124-3042
Phone
(402) 201-4195
Fax
(402) 763-4492
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Ms. Wendy Jea Theis, MSW, LCSW, LIMHPNPI 1477844876
Title
Therapist
Phone
(531) 444-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3031 S 87TH St
Omaha, NE 68124-3042

Mailing address

3031 S 87TH St
Omaha, NE 68124-3042
Phone (402) 201-4195

National Provider Directory

National Provider Directory

Locations

3031 S 87th St
Omaha, NE 68124
Phone (402) 880-8535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1497459333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 S 87TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243042",
            "telephone_number": "402-201-4195",
            "fax_number": "402-763-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 S 87TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243042",
            "telephone_number": "402-201-4195",
            "fax_number": "402-763-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEA THEIS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "JEA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "531-444-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Mar 27, 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.

Verify at the official NPI Registry.