Active NPI
Jay C Cramer, MS LMHP
- Professional Counselor
- Fremont, NE
National Provider Identifier
1629117478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2069
- Practice address
- 415 E 23Rd St Ste 204
Fremont, NE 68025-2300 - Phone
- (402) 721-1417
- NPI assigned
- Feb 6, 2007
- Last updated
- Aug 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2069 | NE | Primary |
Addresses
Primary practice location
415 E 23Rd St Ste 204
Fremont, NE 68025-2300
Mailing address
3341 S 113TH St
Omaha, NE 68144-4741
Phone (402) 721-1417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025097000 | Medicaid | NE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240827001761 | NE | Practitioner - Mental Health Counselor | 0648719294 | Practice locations: Fremont, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
415 E 23Rd St
Suite 204
Fremont, NE 68025-2300
Phone (402) 721-1417
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2069 | NE | MD | Professional Counselor |
| 463 | NE | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1629117478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 S 113TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444741",
"telephone_number": "402-721-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E 23RD ST STE 204",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252300",
"telephone_number": "402-721-1417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "JAY",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "MS LMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "2069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025097000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.