Active NPI
Jay Alan Eason, LADC,PMSW,PMHP,ACADC
- Addiction (Substance Use Disorder) Counselor
- Omaha, NE
National Provider Identifier
1962607069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 06R112
- Practice address
- 2602 J St
Omaha, NE 68107-1643 - Phone
- (402) 734-5275
- Fax
- (402) 734-5708
- NPI assigned
- Jun 19, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 619 | NE | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 06R112 | IA | Primary |
| Mental Health Counselor | 101YM0800X | 7794 | NE | |
| Social Worker | 104100000X | 6457 | NE |
Addresses
Primary practice location
2602 J St
Omaha, NE 68107-1643
Mailing address
748 N 75TH St
Omaha, NE 68114-3124
Phone (402) 734-5275
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 |
|---|---|---|---|
| 619 | NE | MD | Counselor |
| 06R112 | IA | MD | Addiction (Substance Use Disorder) Counselor |
| 6457 | NE | MD | Mental Health Counselor |
| 1245 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ponca Tribe of Nebraska | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ponca Health Services
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Lincoln, NE
- NPI 1275103103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1962607069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 N 75TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143124",
"telephone_number": "402-734-5275",
"fax_number": "402-734-5708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 J ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071643",
"telephone_number": "402-734-5275",
"fax_number": "402-734-5708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASON",
"first_name": "JAY",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "LADC,PMSW,PMHP,ACADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "619",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "06R112",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "7794",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NE",
"license": "6457",
"primary": false
}
],
"identifiers": [],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.