Active NPI
Patricia Anne Jorgensen, M.S.ED.
- Mental Health Counselor
- Kearney, NE
National Provider Identifier
1861787681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9410
- Practice address
- 2315 W 39TH St
Lighthouse Counseling Center
Kearney, NE 68845-8327 - Phone
- (308) 293-2471
- NPI assigned
- Jun 9, 2011
- 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 | 9410 | NE | Primary |
Addresses
Primary practice location
2315 W 39TH St
Lighthouse Counseling Center
Kearney, NE 68845-8327
Mailing address
PO Box 1156
Kearney, NE 68848-1156
Phone (308) 293-2471
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9410 | NE | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1861787681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1156",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688481156",
"telephone_number": "308-293-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 W 39TH ST",
"address_2": "LIGHTHOUSE COUNSELING CENTER",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688458327",
"telephone_number": "308-293-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSEN",
"first_name": "PATRICIA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "M.S.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "9410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.