Active NPI
Jane Prine
- Addiction (Substance Use Disorder) Counselor
- Council Bluffs, IA
National Provider Identifier
1952632614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 604
- Practice address
- 902 S 6TH St
Council Bluffs, IA 51501-6441 - Phone
- (712) 325-1990
- NPI assigned
- Jan 20, 2010
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 604 | NE | Primary |
Addresses
Primary practice location
902 S 6TH St
Council Bluffs, IA 51501-6441
Mailing address
902 S 6TH St
Council Bluffs, IA 51501-6441
Phone (712) 325-1990
Other practice location 1
11111 M St
Omaha, NE 68137-2378
Phone (402) 504-4099
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 604 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Care Health Center | Current | Accepting new patients | |
| Mak Development, LLC. | Current | Accepting new patients | |
| All Care Health Center | Current | Accepting new patients |
Locations
902 S 6th St
Council Bluffs, IA 51501
Phone (712) 256-6583
Interoperability endpoints
- https://webprd.ochin.org/prd-fhir/allcarehealthcenter/api/FHIR/R4
Organizations & group practices 3
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.
-
dba Michael House
- Substance Abuse Rehabilitation Facility
- Omaha, NE
- NPI 1831839646
-
- Federally Qualified Health Center (FQHC)
- Council Bluffs, IA
- NPI 1114906906
-
- Community/Retail Pharmacy
- Council Bluffs, IA
- NPI 1124461363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1952632614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 S 6TH ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515016441",
"telephone_number": "712-325-1990",
"fax_number": "712-325-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S 6TH ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515016441",
"telephone_number": "712-325-1990"
}
],
"practiceLocations": [
{
"address_1": "11111 M St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681372378",
"country_code": "US",
"telephone_number": "402-504-4099",
"fax_number": "402-504-3929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRINE",
"first_name": "JANE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
- Prairielands Chiropractic Clinic P.C.
- Premere Rehab LLC (Infinity Rehab)
- Premise Health of Iowa Medical P C (Caesars Health Center Council Bluffs)
- Charles Pribyl
- Edward N Prikaszczikow, DPM
- Priority Care LLC
- Joshua Probst
- Professional Portable Radiologic Services, Inc. (Professional Portable X-ray, Inc.)
- Progressive Therapy Associates, LLC
- Promising Tomorrows Care Solutions Ia LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.