Active NPI
Jill Marie Souchek, MS PLMHP
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1770907180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10245
- Practice address
- 2444 O St
Lincoln, NE 68510-1125 - Phone
- (402) 475-7666
- NPI assigned
- Feb 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10245 | NE | Primary |
| Marriage & Family Therapist | 106H00000X | 61 | NE |
Addresses
Primary practice location
2444 O St
Lincoln, NE 68510-1125
Mailing address
2444 O St
Lincoln, NE 68510-1125
Phone (402) 475-7666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770907180 | Medicaid | NE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61 | NE | MD | Marriage & Family Therapist |
| 10245 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1770907180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2444 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685101125",
"telephone_number": "402-475-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2444 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685101125",
"telephone_number": "402-475-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUCHEK",
"first_name": "JILL",
"middle_name": "MARIE",
"credential": "MS PLMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10245",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NE",
"license": "61",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770907180",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.