Individual provider Active NPI

Andrew Jerusik

  • Mental Health Counselor
  • Bellevue, NE
National Provider Identifier
1750567202
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10100 Cedar Island Rd
Bellevue, NE 68123-5048
Phone
(720) 236-9624
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3794 NE
Professional Counselor 101YP2500X 4150 CO
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

10100 Cedar Island Rd
Bellevue, NE 68123-5048

Mailing address

6618 Michael Cir
Papillion, NE 68133-3239
Phone (720) 236-9624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231221003359 CO Practitioner - Mental Health Counselor 5496105066 Reassigns benefits to 1 organization
I20240914000197 NE Practitioner - Mental Health Counselor 5496105066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citycare Counseling IncGroup PAC ID 4486148665, 17 clinicians

Practice addresses (Care Compare)

10100 Cedar Island Rd
Bellevue, NE 68123-5048
Phone (402) 916-9421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4150COMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Citycare Counseling, Inc Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

155 Inverness Dr W
Ste 200
Englewood, CO 80112
Phone (303) 779-9676

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

9235 Crown Crest Blvd
Ste 250
Parker, CO 80138
Phone (303) 789-4000

10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860

10100 Cedar Island Rd
Bellevue, NE 68123
Phone (402) 807-3199

10845 Harney St
Omaha, NE 68154
Phone (402) 330-3360

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1750567202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 MICHAEL CIR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681333239",
            "telephone_number": "720-236-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 CEDAR ISLAND RD",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681235048",
            "telephone_number": "720-236-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERUSIK",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3794",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4150",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.