Jericho Counseling Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2166 Issued in NE

Legal business name

JERICHO COUNSELING ASSOCIATES

Practice address

1941 S 42ND St Ste 538
Omaha, NE 68105-2945

Phone

(402) 344-7000

Fax

(402) 344-8089

NPI assigned

Apr 11, 2007

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry James Duncan, MHR, LADC, LMHP

Title

Executive

Phone

(402) 344-7000

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1649493933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 538",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-344-7000",
            "fax_number": "402-344-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 538",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-344-7000",
            "fax_number": "402-344-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "402-344-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHR, LADC, LMHP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "385",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254608-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerald E. McManigal, DDS, PC (McManigal Family Dentistry)
• Asher Yaw Jerald-Mends
• Majesty Jerald-Mends
• Amalia Joy Jereczek, MD
• Azaliah Jeresek
• Rebecca Jerina, PA-C
• Karie Jernstrom, PLMHP
• Kyla Jerrick, APRN
• Jerry Authier, PHD, PC
• Anna Elizabeth Jeseritz, LIMHP, CMSW, LISW

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, 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 Jun 13, 2008; 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.