Active NPI
Joyjoy Small
- Counselor
- Omaha, NE
National Provider Identifier
1639707888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 12139
- Practice address
- 11414 W Center Rd Ste 300
Omaha, NE 68144-4420 - Phone
- (319) 400-5011
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12139 | NE | Primary |
Addresses
Primary practice location
11414 W Center Rd Ste 300
Omaha, NE 68144-4420
Mailing address
1204 N B St Apt 200
Fairfield, IA 52556-2022
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 |
|---|---|---|---|
| 12139 | NE | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1639707888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 N B ST APT 200",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525562022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 W CENTER RD STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444420",
"telephone_number": "319-400-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "JOYJOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "12139",
"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 Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.