Jessica Ann Stallings, DAT, ATR-BC, LMHP, L

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5155 Issued in NE

Practice address

621 N 51St St
Omaha, NE 68132

Phone

(402) 799-1199

Fax

(402) 939-8989

NPI assigned

Mar 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Jessica Ann Wollhiser Former name

Medicare fee-for-service enrollment

Enrolled in IA, NE2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heartland Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
  • NPI 1891788048

  Multi-Specialty

  Medicare reassignment NPD
• Heartland Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Council Bluffs, IA
  • NPI 1972343184

  Multi-Specialty

  Medicare reassignment NPD
• Heartland Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Papillion, NE
  • NPI 1245399302

  Multi-Specialty

  NPD
• Louisa W. Foster, PSYD, PC

  • Psychologist
  • Omaha, NE
  • NPI 1205371044

  Multi-Specialty

  NPD
• Heartland Family Service

  • Multi-Specialty Clinic/Center
  • Council Bluffs, IA
  • NPI 1447742036

  Mental Health

  NPD
• Heartland Family Service

  • Mental Health Counselor
  • Council Bluffs, IA
  • NPI 1639562069
  NPD

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1811262314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N 51ST ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68132",
            "telephone_number": "402-799-1199",
            "fax_number": "402-939-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N 51ST ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68132",
            "telephone_number": "402-799-1199",
            "fax_number": "402-939-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DAT, ATR-BC, LMHP, L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NE",
            "license": "5155",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200867540A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WOLLHISER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Staley, PTA
• Calista Stalheim, ATC
• Nicole Stalker
• Alexander Richard Staller, D.O.
• Eva Stalling
• Paige Stallings
• Kenneth Stallons, M.S.
• Barbara Stallworth
• Wendy Renee Stambaugh
• David W Stamm, M.D.

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.