Active NPI
Jaci Renee Pekarek, M.A.
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1952440414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2523
- Practice address
- 1919 S 40TH St
Ste 312
Lincoln, NE 68506-5243 - Phone
- (402) 475-5069
- Fax
- (402) 475-2350
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2523 | NE | Primary |
Addresses
Primary practice location
1919 S 40TH St
Ste 312
Lincoln, NE 68506-5243
Mailing address
1919 S 40TH St
Ste 312
Lincoln, NE 68506-5243
Phone (402) 475-5069
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2523 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Counseling, P.C. | Mental Health | Current | Accepting new patients |
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.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1043529555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952440414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S 40TH ST",
"address_2": "STE 312",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065243",
"telephone_number": "402-475-5069",
"fax_number": "402-475-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S 40TH ST",
"address_2": "STE 312",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065243",
"telephone_number": "402-475-5069",
"fax_number": "402-475-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKAREK",
"first_name": "JACI",
"middle_name": "RENEE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.