Organization Active NPI

JDM Counseling Services, LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1841722873
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4937 Issued in NE
Legal business name
JDM COUNSELING SERVICES, LLC
Practice address
11840 Nicholas St Ste 101
Omaha, NE 68154-4475
Phone
(402) 201-5684
NPI assigned
Mar 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Tomeka C Johnson, MBRS
Title
Billing/Credentialing Spec.
Phone
(402) 885-7672

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X P-1393 NE
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 4937 NE Primary

Addresses

Primary practice location

11840 Nicholas St Ste 101
Omaha, NE 68154-4475

Mailing address

11840 Nicholas St Ste 101
Omaha, NE 68154-4475
Phone (402) 201-5684

National Provider Directory

National Provider Directory

Locations

11840 Nicholas St
Ste 101
Omaha, NE 68154
Phone (402) 201-5684

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1841722873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11840 NICHOLAS ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544475",
            "telephone_number": "402-201-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 NICHOLAS ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544475",
            "telephone_number": "402-201-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDM COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TOMEKA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING SPEC.",
        "authorized_official_telephone_number": "402-885-7672",
        "authorized_official_credential": "MBRS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1393",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4937",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 28, 2022; 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.