Amy Johanna Sjoholm, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4454 Issued in NE

Legal business name

AMY JOHANNA SJOHOLM, LLC

Practice address

3308 W Capital Ave
Grand Island, NE 68803-1333

Phone

(402) 879-5755

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Johanna Sjoholm, LMHPNPI 1588923783

Title

Owner

Phone

(402) 879-5755

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Amy J Sjoholm, LMHP

  • Mental Health Counselor
  • Grand Island, NE
  • NPI 1588923783
  NPD (past) Authorized official

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1538512876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PARKLANE AVE",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688181844",
            "telephone_number": "402-879-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 W CAPITAL AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031333",
            "telephone_number": "402-879-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY JOHANNA SJOHOLM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "SJOHOLM",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-879-5755",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026475600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis D Alvarez
• Sebastian Aaron Alvarez
• Kayla Dawn Alvis
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• Samantha Leigh Amick, PLMHP, PCMSW
• Keri Anania, P.A.
• Chandrakumaran Anchalia, MD
• Gabrielle Anderson
• Heather Elaine Anderson
• Jared Dean Anderson

• Mental Health Counselor in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.