Jolynn Liddick, PLMHP, PLADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10294 Issued in NE

Practice address

11515 S 39TH St
Suite 300
Bellevue, NE 68123-5200

Phone

(402) 342-7007

NPI assigned

Sep 8, 2014

Sex

Female

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

State licenses

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.

• Lutheran Family Services of NE, Inc

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1639121726
  NPD (past)

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1740681865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 S 39TH ST",
            "address_2": "SUITE 300",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681235200",
            "telephone_number": "402-342-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 S 39TH ST",
            "address_2": "SUITE 300",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681235200",
            "telephone_number": "402-342-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDICK",
        "first_name": "JOLYNN",
        "credential": "PLMHP, PLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathon L Lewman
• Becky Libby
• Brenna Libby
• Steven Libby
• Melanie Lichtenauer
• Korina Marie Liekhus
• Marlyn Jo Lien
• Skye Liermann
• Light Roots Behavioral Therapy LLC
• Edward Mina Lim, MD

• Mental Health Counselor in Bellevue, NE
• Providers in Bellevue, 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 Nov 28, 2016; 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.