Organization Active NPI

Encounter Telehealth, Inc

  • Multi-Specialty Clinic/Center
  • Omaha, NE
National Provider Identifier
1922342195
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ENCOUNTER TELEHEALTH, INC
Practice address
900 S 74TH PLZ Ste 300
Omaha, NE 68114-4667
Phone
(844) 485-3041
Fax
(402) 504-9515
NPI assigned
Nov 12, 2012
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Jennifer Lynn Amis
Title
President & Ceo
Phone
(402) 810-3214

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

900 S 74TH PLZ Ste 300
Omaha, NE 68114-4667

Mailing address

PO Box 24146
Omaha, NE 68124-0146
Phone (402) 718-8846

Other practice location 1

8010 Woolworth Ave
Omaha, NE 68124-1455
Phone (402) 810-3214

Other names 2

  • Encounter Telehealth, LLC Former legal business name
  • Provider Source, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, FL, IA, CO, MN, SD, IL, MO, MT, SC, TX, TN, ME, KS, CA, OH, MI, WI, WA, OR20 enrollments

Enrollment records 20

Enrollment IDStateProvider typePAC IDDetails
O20130614000300 NE Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: MC Cook, NE; Omaha, NE
O20140626001653 FL Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 3 practitioners
Practice locations: Navarre, FL
O20140812001523 IA Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 13 practitioners
Practice locations: Bettendorf, IA
O20160504000980 CO Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 2 practitioners
Practice locations: Sterling, CO; Wray, CO
O20170320002447 MN Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 3 practitioners
Practice locations: Worthington, MN
O20170331000943 SD Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 2 practitioners
Practice locations: Highmore, SD
O20170407000860 IL Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 3 practitioners
Practice locations: Bloomington, IL
O20170407001641 MO Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 1 practitioner
Practice locations: Bellflower, MO
O20170413002205 MT Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 3 practitioners
Practice locations: Laurel, MT; Sheridan, MT; Whitefish, MT
O20170418000672 SC Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC
O20170512001047 TX Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 4 practitioners
Practice locations: Dripping Springs, TX
O20170623000510 TN Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, TN
O20181109001575 ME Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 4 practitioners
Practice locations: Rumford, ME
O20181128002588 KS Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 1 practitioner
Practice locations: Pretty Prairie, KS
O20191016000555 CA Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 1 practitioner
Practice locations: Loma Linda, CA; Temple City, CA
O20211007000595 OH Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH
O20220725000900 MI Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Lake, MI; Watersmeet, MI
O20230106002486 WI Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 3 practitioners
Practice locations: Green Bay, WI
O20251111003425 WA Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 4 practitioners
Practice locations: Bothell, WA
O20260320001011 OR Part B Supplier - Clinic/Group Practice 9931348307 Receives reassigned benefits from 4 practitioners
Practice locations: Florence, OR

National Provider Directory

National Provider Directory

Locations

360 Canyon Ridge Dr
Wray, CO 80758
Phone (970) 332-4856

2241 N West St
Carroll, IA 51401
Phone (712) 792-9284

1915 S 18th St
Centerville, IA 52544
Phone (641) 856-2757

1742 Main St
Pella, IA 50219
Phone (641) 620-4100

1200 W Nishna Rd
Shenandoah, IA 51601
Phone (712) 246-4515

589 Vincent Ave
Chappell, NE 69129
Phone (308) 874-2292

1112 15th St
Columbus, NE 68601
Phone (402) 564-3197

2121 B Ave
Ste 3
Kearney, NE 68847
Phone (308) 234-6203

17117 Oak Dr
Ste A
Omaha, NE 68130

2323 S 171st St
#202
Omaha, NE 68130

2323 S 171st St
Ste 202
Omaha, NE 68130
Phone (402) 718-8846

900 S 74th Plz
Ste 403
Omaha, NE 68114

811 S Main St
Randolph, NE 68771
Phone (402) 337-0444

823 M St
Tekamah, NE 68061
Phone (402) 374-1414

306 Ash St
Wakefield, NE 68784
Phone (402) 287-2244

1433 Wellesley Cir
Mt Pleasant, SC 29466
Phone (843) 412-3042

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1922342195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24146",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681240146",
            "telephone_number": "402-718-8846",
            "fax_number": "888-497-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 74TH PLZ STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144667",
            "telephone_number": "844-485-3041",
            "fax_number": "402-504-9515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8010 Woolworth Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681241455",
            "country_code": "US",
            "telephone_number": "402-810-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENCOUNTER TELEHEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "AMIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "402-810-3214"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encounter Telehealth, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Provider Source, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Provider Source, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.