Timothy L Jefferson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6502 Sorensen Pkwy
Omaha, NE 68152-2138

Phone

(402) 502-9788

NPI assigned

Aug 5, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Holistic Development

  • Community/Behavioral Health Agency
  • Omaha, NE
  • NPI 1184664922

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1649656265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 N 78TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681342100",
            "telephone_number": "402-991-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 SORENSEN PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522138",
            "telephone_number": "402-502-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deja Jefferson
• Erica Jefferson
• Gail Marie Jefferson
• Kenyatta Taneko Jefferson
• Tavonna Jefferson
• Vera Krystell Jefferson, LPN
• William Howard Jefferson Sr.
• Alexis Jeffres
• Blake David Jeffres, PT
• Jeffrey a Passer MD PC

• 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 Aug 5, 2015; 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.