Individual provider Active NPI

Jacqueline K Beck-Jacobson, LMHP, CPC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1780883124
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3115 Issued in NE
Practice address
2315 N 60TH Ave
Omaha, NE 68104-4009
Phone
(402) 770-9417
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1617 NE
Professional Counselor 101YP2500X 0022230 CO
Mental Health Counselor 101YM0800X 3115 NE Primary

Addresses

Primary practice location

2315 N 60TH Ave
Omaha, NE 68104-4009

Mailing address

2315 N 60TH Ave
Omaha, NE 68104-4009
Phone (402) 770-9417

Other names 1

  • Miss Jacqueline K Beck-Meyers Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0022230COMDProfessional Counselor
1617NEMDPhysical Therapist
3115NEMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1780883124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 N 60TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044009",
            "telephone_number": "402-770-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 N 60TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044009",
            "telephone_number": "402-770-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK-JACOBSON",
        "first_name": "JACQUELINE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LMHP, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1617",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0022230",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "BECK-MEYERS",
            "middle_name": "K",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.