Active NPI
Tracey A. Jahn, LMHP
- Counselor
- Omaha, NE
National Provider Identifier
1639297963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2223
- Practice address
- 5824 S 142ND St Ste B
Omaha, NE 68137-2872 - Phone
- (402) 981-7187
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1240 | NE | |
| Counselor | 101Y00000X | 2223 | NE | Primary |
Addresses
Primary practice location
5824 S 142ND St Ste B
Omaha, NE 68137-2872
Mailing address
1303 Kerry LN
Logan, IA 51546-6094
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2223 | Other | NE | LMHP LICENSE |
| 1240 | Other | NE | CPC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1240 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1639297963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 KERRY LN",
"city": "LOGAN",
"state": "IA",
"postal_code": "515466094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5824 S 142ND ST STE B",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372872",
"telephone_number": "402-981-7187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAHN",
"first_name": "TRACEY",
"middle_name": "A.",
"credential": "LMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "1240",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "2223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHP LICENSE",
"identifier": "2223",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPC LICENSE",
"identifier": "1240",
"state": "NE"
}
],
"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 Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.