Jessica Marie Grossnicklaus, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1082 Issued in NE

Practice address

2001 Pine Lake Rd Ste 200
Lincoln, NE 68512-3604

Phone

(402) 261-8313

NPI assigned

Aug 27, 2019

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 names 1

• Jessica Marie Paloucek Former name

Medicare fee-for-service enrollment

Enrolled in NE

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 1

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.

• Jessica Grossnicklaus, PSYD, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, NE
  • NPI 1700534799
  NPD Authorized official
• JG Psychology, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kearney, NE
  • NPI 1912861329
  NPD Authorized official
• South Central Mental Health Counseling Center, Inc.

  • Mental Health Counselor
  • El Dorado, KS
  • NPI 1538155882
  NPD (past)
• South Central Mental Health Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • El Dorado, KS
  • NPI 1891561858
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1881242691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PINE LAKE RD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123604",
            "telephone_number": "402-261-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PINE LAKE RD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123604",
            "telephone_number": "402-261-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSNICKLAUS",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "T-LMLP2938",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "1082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PALOUCEK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chandra Gross
• Gregory A Gross, M.DIV.
• Kenneth P Gross, M.D.
• Quirstin Gross
• Christina L Grosshans, PA-C
• Laura Groteluschen
• Robyn Ruth Grotfeld
• Trisha Lynn Groth
• Emily Grove
• Kathleen Grove

• Psychologist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.