Individual provider Active NPI

Jane L Watson, LCSW

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1770688657
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
810 Issued in NE
Practice address
2608 Old Fair Rd
Grand Island, NE 68803-5271
Phone
(308) 382-5297
Fax
(308) 382-5315
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 810 NE Primary
Clinical Social Worker 1041C0700X 660 NE

Addresses

Primary practice location

2608 Old Fair Rd
Grand Island, NE 68803-5271

Mailing address

2608 Old Fair Rd
Grand Island, NE 68803-5271
Phone (308) 382-5297

Other identifiers 2

IdentifierTypeStateIssuer
1124130364OtherNENPI FOR CORPORATION
10025173100MedicaidNE

Other names 1

  • Ms. Janie Pfeifer-Watson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000033 NE Practitioner - Clinical Social Worker 6305829268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wholeness Healing Center PCGroup PAC ID 3173571320, 13 clinicians

Practice addresses (Care Compare)

2608 Old Fair Rd
Grand Island, NE 68803-5271
Phone 3083825297211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
660NEMDAddiction (Substance Use Disorder) Counselor
810NEMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wholeness Healing Center PC Mental Health CurrentSince Jan 1, 2005 Accepting new patients
Wholeness Healing Center, P.C. Mental Health Past Accepting new patients
Wholeness Healing Center PC Mental Health Past Accepting new patients

Locations

2608 Old Fair Rd
Grand Island, NE 68803
Phone (308) 382-5297

Organizations & group practices 3

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1770688657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 OLD FAIR RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035271",
            "telephone_number": "308-382-5297",
            "fax_number": "308-382-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 OLD FAIR RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035271",
            "telephone_number": "308-382-5297",
            "fax_number": "308-382-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JANE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "810",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR CORPORATION",
            "identifier": "1124130364",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025173100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIE",
            "last_name": "PFEIFER-WATSON",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.