Organization Active NPI

Jessica Marie

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
National Provider Identifier
1528656758
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JESSICA MARIE
Practice address
13304 W Center Rd Ste 110
Omaha, NE 68144-3453
Phone
(402) 913-0068
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Authorized official

Name
Jessica MartinezNPI 1518598416
Title
MSW
Phone
(402) 913-0068

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

13304 W Center Rd Ste 110
Omaha, NE 68144-3453

Mailing address

13304 W Center Rd Ste 110
Omaha, NE 68144-3453

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.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657929600000",
    "number": "1528656758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443453",
            "telephone_number": "402-913-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA MARIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MSW",
        "authorized_official_telephone_number": "402-913-0068"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Jul 16, 2022; 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.