JESSICA M VANDERCOY


Address: 5605 Northern Hills Dr, Omaha, NE 68152-1192
Phone: 4029801261

JESSICA M VANDERCOY (NPI# 1588006993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588006993
Entity Type Individual
Full Name JESSICA M VANDERCOY
Credential LMHP
Practice Address 5605 Northern Hills Dr
Omaha
NE 68152-1192
Practice Telephone 4029801261
Practice Fax Number 4029801261
Mailing Telephone 4029801261
Mailing Fax Number 4029801261
Enumeration Date 2013-07-26
Last Update Date 2020-03-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
3948 NE Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE 1588006993 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
124 S 24th St, Ste 230, Omaha, NE 681021226 4029785673 4025915075

Office Location

Street Address 5605 NORTHERN HILLS DR
City OMAHA
State NE
Zip Code 68152-1192

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1811392889 Molly Motsinger Physical Therapy Assistant 6020 Country Club Oaks Place, Omaha, NE 68152 2014-11-03
1043625023 Joseph Kent Psychiatry & Neurology 7101 Newport Ave Dept Of, Omaha, NE 68152 2014-06-27
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1144534736 Stefany Bowden Speech-Language Pathologist 12849 Calhoun Rd, Omaha, NE 68152-1117 2010-08-05
1255783742 Horseplay Acres Therapy Services Speech-Language Pathologist 12849 Calhoun Rd, Omaha, NE 68152-1117 2016-07-07
1699947853 Erika Lee Physical Therapist 6533 Country Squire Ln, Omaha, NE 68152-1411 2008-03-27
1336365311 Kelly S. Schroeder Emergency Medicine 10985 N 60th St, Omaha, NE 68152-1459 2007-04-18
1477875649 James Bane General Practice 11106 N 61st St, Omaha, NE 68152-1470 2010-02-15
1437640760 Tonya M Goodwin-daly Counselor 9910 N 48th St Ste 111, Omaha, NE 68152-1548 2018-05-22
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164023321 Omaha Mental Health LLC Counselor 12305 Gold St Ste 13, Omaha, NE 68144-2760 2020-11-04
1275149262 Vervech Counselor 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 2020-09-16
1497368476 Jennifer Cherney Counselor 9218 Bedford Ave, Omaha, NE 68134-4726 2020-08-28
1356959530 Wonderful Counselor Counselor 1524 Cuming St Apt 309, Omaha, NE 68102-4435 2020-07-14
1295357069 Tracy N Gilman Counselor 42nd and Dewey St, Omaha, NE 68198-1023 2020-05-14
1609498609 Moreno Therapy, PC, LLC Counselor 2620 N 132nd Ave, Omaha, NE 68164-4023 2020-05-12
1992334494 Benjamin Daniel Wright Counselor 6206 S 37th St, Omaha, NE 68107-3840 2020-04-06
1558995662 Cord Where Science Meets Connection LLC Counselor 10826 Old Mill Rd Ste 103a, Omaha, NE 68154-2660 2020-02-27
1124652656 Be Kind Counseling LLC Counselor 4917 Underwood Ave # 3, Omaha, NE 68132-2421 2020-02-24
1326682592 Andrea Dawn Degner Counselor 11580 W. Dodge Frontage Rd, Omaha, NE 68154 2019-10-31
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Competitor

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City OMAHA
Zip Code 68152

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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