Individual provider Active NPI

Jaynee Bohart, PMHL

  • Mental Health Counselor
  • Walthill, NE
National Provider Identifier
1972232270
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
104 S Costello St
Walthill, NE 68067
Phone
(402) 475-0380
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

104 S Costello St
Walthill, NE 68067

Mailing address

1520 Atokad Dr TRLR 261
South Sioux City, NE 68776-5439
Phone (253) 259-0866

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125003250 NE Practitioner - Clinical Psychologist 1759816952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1159NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Urban Indian Health Coalition, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Morningstar Counseling and Consultation PC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1530 S 70th St
Ste 102
Lincoln, NE 68506
Phone (402) 327-9711

2331 Fairfield St
Ste 1
Lincoln, NE 68521
Phone (402) 327-9711

2641 S 70th St
Ste A
Lincoln, NE 68506
Phone (402) 327-9711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1972232270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 ATOKAD DR TRLR 261",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687765439",
            "telephone_number": "253-259-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S COSTELLO ST",
            "city": "WALTHILL",
            "state": "NE",
            "postal_code": "68067",
            "telephone_number": "402-475-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHART",
        "first_name": "JAYNEE",
        "credential": "PMHL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walthill, NE

Sources for this page

Verify at the official NPI Registry.