Jody Renee Gilfillan, MAA,LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

146 Issued in NE

Practice address

421 S 9TH St
Suite 205
Lincoln, NE 68508-2261

Phone

(402) 601-4289

Fax

(402) 475-7541

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alcohol and Drug Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, NE
  • NPI 1679948335
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1821205980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 S 44TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063331",
            "telephone_number": "402-488-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S 9TH ST",
            "address_2": "SUITE 205",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082261",
            "telephone_number": "402-601-4289",
            "fax_number": "402-475-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILFILLAN",
        "first_name": "JODY",
        "middle_name": "RENEE",
        "credential": "MAA,LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Gilchrist, LCSW
• Laura Gildea
• Stephen Philip Gildersleeve, O.D.
• Nicholas Giles, PSYD
• Dameon Gilfillan, LADC
• Gabrielle Jane Gill
• Mekyla Gill
• Tiffani Gill
• Randy Eugene Gillam
• Matthew Gillan

• Addiction (Substance Use Disorder) Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.