Individual provider Active NPI

Mary Jo Shemek, PLADC

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, NE
National Provider Identifier
1790059467
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
P1039 Issued in NE
Practice address
3020 18TH St
Suite 17
Columbus, NE 68601-4254
Phone
(402) 563-3833
NPI assigned
Feb 28, 2012
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P1039 NE Primary

Addresses

Primary practice location

3020 18TH St
Suite 17
Columbus, NE 68601-4254

Mailing address

3300 N 60TH St
Omaha, NE 68104-3402
Phone (402) 554-0520

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

State licenses

LicenseStateTypeSpecialty
P1039NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Archdiocese of Omaha Inc Addiction (Substance Use Disorder) Past Accepting new patients
Catholic Charities of the Archdiocese of Omaha Inc Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1790059467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N 60TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043402",
            "telephone_number": "402-554-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 18TH ST",
            "address_2": "SUITE 17",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014254",
            "telephone_number": "402-563-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMEK",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "PLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.