Active NPI
Jennifer Ann Aesoph, MA, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1831437037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1395
- Practice address
- 4611 S 96TH St Ste 258
Omaha, NE 68127-1244 - Phone
- (402) 214-4344
- Fax
- (402) 275-6958
- NPI assigned
- Jan 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1395 | NE | Primary |
Addresses
Primary practice location
4611 S 96TH St Ste 258
Omaha, NE 68127-1244
Mailing address
4611 S 96TH St Ste 258
Omaha, NE 68127-1244
Phone (402) 214-4344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1395 | Other | NE | LIMHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1395 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1831437037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 S 96TH ST STE 258",
"city": "OMAHA",
"state": "NE",
"postal_code": "681271244",
"telephone_number": "402-214-4344",
"fax_number": "402-275-6958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 S 96TH ST STE 258",
"city": "OMAHA",
"state": "NE",
"postal_code": "681271244",
"telephone_number": "402-214-4344",
"fax_number": "402-275-6958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AESOPH",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "MA, LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIMHP",
"identifier": "1395",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}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 Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.