Active NPI
Jessica Prenosil, PLADC
- Addiction (Substance Use Disorder) Counselor
- Lincoln, NE
National Provider Identifier
1699406157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- P-1984
- Practice address
- 600 N Cotner Blvd Ste 119
Lincoln, NE 68505-2343 - Phone
- (402) 261-6667
- NPI assigned
- Jun 23, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1984 | NE | Primary |
Addresses
Primary practice location
600 N Cotner Blvd Ste 119
Lincoln, NE 68505-2343
Mailing address
600 N Cotner Blvd Ste 119
Lincoln, NE 68505-2343
Phone (402) 261-6667
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 |
|---|---|---|---|
| P-1984 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Counseling & Treatment, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
600 N Cotner Blvd
Ste 119
Lincoln, NE 68505
Phone (402) 261-6667
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Lincoln, NE
- NPI 1457990665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1699406157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N COTNER BLVD STE 119",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052343",
"telephone_number": "402-261-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N COTNER BLVD STE 119",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052343",
"telephone_number": "402-261-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENOSIL",
"first_name": "JESSICA",
"credential": "PLADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-1984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.