Individual provider Active NPI

Jamie Moline, MA LMHP CPC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1902073703
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8589 Issued in NE
Practice address
7130 S 29TH St Ste G
Lincoln, NE 68516-5841
Phone
(402) 204-0341
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8589 NE Primary

Addresses

Primary practice location

7130 S 29TH St Ste G
Lincoln, NE 68516-5841

Mailing address

7130 S 29TH St Ste G
Lincoln, NE 68516-5841
Phone (402) 204-0341

Other identifiers 1

IdentifierTypeStateIssuer
96065OtherNEBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240808003791 NE Practitioner - Mental Health Counselor 1355888298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 S 70TH St
Suite 101
Lincoln, NE 68506-1574
Phone (402) 204-0341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Moline LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1500 S 70th St
Ste 101
Lincoln, NE 68506
Phone (402) 204-0341

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1902073703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 S 29TH ST STE G",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165841",
            "telephone_number": "402-204-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 S 29TH ST STE G",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165841",
            "telephone_number": "402-204-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINE",
        "first_name": "JAMIE",
        "credential": "MA LMHP CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "8589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96065",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.