Active NPI
Jesica G. Vickers, LPC, LIMHP, PLADC
- Mental Health Counselor
- Kearney, NE
National Provider Identifier
1992090294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1261
- Practice address
- 125 E 31St St
Kearney, NE 68847-3001 - Phone
- (308) 234-6029
- NPI assigned
- Jun 14, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1114 | NE | |
| Mental Health Counselor | 101YM0800X | 4255 | NE | |
| Mental Health Counselor | 101YM0800X | 1261 | NE | Primary |
Addresses
Primary practice location
125 E 31St St
Kearney, NE 68847-3001
Mailing address
3 Willow LN
Kearney, NE 68845-4880
Phone (308) 920-0984
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-1114 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 4255 | NE | MD | Mental Health Counselor |
| 1261 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Resources of Greater Nebraska PC | Addiction (Substance Use Disorder) | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Grand Island, NE
- NPI 1205838083
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1992090294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WILLOW LN",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688454880",
"telephone_number": "308-920-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E 31ST ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688473001",
"telephone_number": "308-234-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "JESICA",
"middle_name": "G.",
"credential": "LPC, LIMHP, PLADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-1114",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4255",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.