Active NPI
Jamie Lynn Kaipust, MSW, LCSW, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1699953661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 661
- Practice address
- 6054 S 36TH St
Omaha, NE 68107-3826 - Phone
- (402) 990-7362
- Fax
- (402) 763-8915
- NPI assigned
- Feb 1, 2008
- Last updated
- Feb 17, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 661 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 3573 | NE | |
| Clinical Social Worker | 1041C0700X | 1335 | NE |
Addresses
Primary practice location
6054 S 36TH St
Omaha, NE 68107-3826
Mailing address
6054 S 36TH St
Omaha, NE 68107-3826
Phone (402) 990-7362
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 |
|---|---|---|---|
| 3573 | NE | MD | Mental Health Counselor |
| 661 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Desired Life Therapy and Counseling | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1699953661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6054 S 36TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681073826",
"telephone_number": "402-990-7362",
"fax_number": "402-763-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6054 S 36TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681073826",
"telephone_number": "402-990-7362",
"fax_number": "402-763-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIPUST",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW, LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "661",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3573",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1335",
"primary": false
}
],
"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 Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.