Active NPI
Peggy Jones Jarrell, LCSW, LMHP
- Professional Counselor
- Omaha, NE
National Provider Identifier
1952656514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1016
- Practice address
- 8303 Dodge St
Omaha, NE 68114-4108 - Phone
- (402) 354-8350
- Fax
- (402) 354-8355
- NPI assigned
- Jul 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1016 | NE | Primary |
| Social Worker | 104100000X | 2291 | NE |
Addresses
Primary practice location
8303 Dodge St
Omaha, NE 68114-4108
Mailing address
PO Box 2797
Omaha, NE 68103-2797
Phone (402) 354-4230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470376604-33 | Medicaid | NE | |
| 1952656514 | Medicaid | IA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2291 | NE | MD | Dental Hygienist |
| 1016 | NE | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1952656514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2797",
"city": "OMAHA",
"state": "NE",
"postal_code": "681032797",
"telephone_number": "402-354-4230",
"fax_number": "402-354-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144108",
"telephone_number": "402-354-8350",
"fax_number": "402-354-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRELL",
"first_name": "PEGGY",
"middle_name": "JONES",
"credential": "LCSW, LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1016",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NE",
"license": "2291",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470376604-33",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952656514",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}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 Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.