Individual provider Active NPI

Jason Christopher Likes, LMHP

  • Counselor
  • Omaha, NE
National Provider Identifier
1760755185
Registry record updated Oct 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3964 Issued in NE
Practice address
11711 Arbor St Ste 110M
Omaha, NE 68144-2975
Phone
(402) 347-2488
NPI assigned
Feb 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X 3964 NE Primary

Addresses

Primary practice location

11711 Arbor St Ste 110M
Omaha, NE 68144-2975

Mailing address

15004 Redman Ave
Omaha, NE 68116-8407
Phone (402) 347-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1143NEMDChiropractor
3964NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ciderstone Counseling Services PC Mental Health CurrentSince Oct 23, 2022 Accepting new patients

Locations

11711 Arbor St
Ste 110M
Omaha, NE 68144
Phone (402) 347-2488

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.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665878400000",
    "number": "1760755185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15004 REDMAN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168407",
            "telephone_number": "402-347-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 ARBOR ST STE 110M",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442975",
            "telephone_number": "402-347-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKES",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-15",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.