Jacqueline Litton
Individual provider Active NPI Mental Health Counselor · Bellevue, NE
NPI 1497488290 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1497488290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 13587 (NE)
- Practice address
- 1320 Galvin Rd S
Bellevue, NE 68005-3064 - Phone
- (402) 292-6006
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Complete Behavioral Health
Practice addresses (Care Compare)
4565 S 133Rd St
Omaha, NE 68137-1142
Phone (402) 590-2947
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250602001348 | NE | Practitioner - Mental Health Counselor | 8527577501 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13587 | NE | MD | Pharmacist |
| 4098 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eon Care Clinicians PC | Current |
Accepting new patients | |
| Bellevue Primary Healthcare PC | Current |
Accepting new patients | |
| Complete Behavioral Health | Current |
Accepting new patients | |
| Cohrs Behavioral Consulting, LLC | Mental Health | Past |
Accepting new patients |
| Athena Integrated Care PLLC | Past |
Accepting new patients |
Locations
1320 Galvin Rd S
Bellevue, NE 68005
Phone (402) 603-0839
4565 S 133rd St
Omaha, NE 68137
Phone (402) 590-2947
Interoperability endpoints
- https://api.platform.athenahealth.com/11675/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13587 | NE | Yes |
Addresses
Primary practice location
1320 Galvin Rd S
Bellevue, NE 68005-3064
Mailing address
1320 Galvin Rd S
Bellevue, NE 68005-3064
Phone (402) 292-6006
Other providers in Bellevue, NE
- Alexis Linehan
- Kaylene R Linhart
- Megan Linse
- Taylor Linsea
- Tanesha Ann Lisenby
- Sarah Jo Lively
- Michael R Livergood
- Karen Ann Livingston
- Rebecca Loehr
- Tina Ann Loftus
All providers in Bellevue, NE · Mental Health Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.