Individual provider Active NPI

Amy Patrice Jonas

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1497925192
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1019 Issued in NE
Practice address
10832 Old Mill Rd
Omaha, NE 68154-2672
Phone
(402) 991-7441
Fax
(402) 991-7445
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2310 NE
Clinical Social Worker 1041C0700X 1019 NE Primary

Addresses

Primary practice location

10832 Old Mill Rd
Omaha, NE 68154-2672

Mailing address

10832 Old Mill Rd
Omaha, NE 68154-2672
Phone (402) 991-7441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000475 NE Practitioner - Clinical Social Worker 4587798947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Mental Health Associates LLCGroup PAC ID 9537422332, 13 clinicians

Practice addresses (Care Compare)

4610 S 133Rd St
Suite 109
Omaha, NE 68137-1333
Phone (402) 614-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2310NEMDProfessional Counselor
1019NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Mental Health Associates LLC Mental Health CurrentSince Apr 24, 2020 Accepting new patients

Locations

4610 S 133rd St
Ste 109
Omaha, NE 68137
Phone (402) 614-0010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21060/brand/4/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1497925192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10832 OLD MILL RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542672",
            "telephone_number": "402-991-7441",
            "fax_number": "402-991-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10832 OLD MILL RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542672",
            "telephone_number": "402-991-7441",
            "fax_number": "402-991-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAS",
        "first_name": "AMY",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2310",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.