JAE JOB (NPI# 1679108237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679108237 |
Entity Type | Individual |
Full Name | JAE JOB |
Credential | CPSS |
Practice Address |
120 Wedgewood Dr Lincoln NE 68510-2431 |
Practice Telephone | 4024342814 |
Mailing Telephone | 4024342814 |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-03-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | CPSS-030 | NE | Other Service Providers |
Street Address |
120 WEDGEWOOD DR |
City | LINCOLN |
State | NE |
Zip Code | 68510-2431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629120191 | St. Monica's | Substance Abuse Rehabilitation Facility | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2007-01-17 |
1962032904 | Elizabeth Anne Weber | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2020-01-17 |
1952946030 | Audrey Ann Gray | Nurse Practitioner | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2019-11-12 |
1386109627 | Kelsy Belgum | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2019-01-31 |
1821517079 | Tiffany Rishaun Hicks | Case Manager/Care Coordinator | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2017-09-19 |
1386182160 | Elizabeth Chalenburg | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2017-02-01 |
1467811067 | Eric James Harmes | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2016-02-11 |
1073985743 | Natalya Young | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2015-10-21 |
1144639741 | Jennifer Somers | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2014-08-07 |
1669887402 | Laura Caroline Kersten | Counselor | 120 Wedgewood Dr, Lincoln, NE 68510-2431 | 2014-06-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
Find all providers in zip 68510 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942782990 | Jennifer Anderson | Peer Specialist | 2615 O St Ste 4, Lincoln, NE 68510-1385 | 2018-09-05 |
1972148948 | Scott Loder | Peer Specialist | 801 W Prospector Pl, Lincoln, NE 68522-1970 | 2019-11-13 |
1407349491 | Laren Kilmer | Peer Specialist | 2301 O St, Lincoln, NE 68510-1124 | 2018-06-13 |
1639688112 | Lisa Anne Bennett | Peer Specialist | 721 K St, Lincoln, NE 68508-2949 | 2017-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144854415 | Brittany James | Peer Specialist | 1905 Avenue K, Scottsbluff, NE 69361-2265 | 2020-02-26 |
1023657723 | Lisa Guel | Peer Specialist | 2350 Five Rocks Rd, Gering, NE 69341-6401 | 2019-12-27 |
1558867903 | Sober Coaching, LLC | Peer Specialist | 444 N 76th St, Omaha, NE 68114-3154 | 2018-04-04 |
1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
1851908453 | Krystal Mae Wright | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-09-28 |
1669088993 | Bianca Y. Garcia | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
1083220305 | Alise J. Baker | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
1427664754 | Karen M Garrett | Peer Specialist | 3568 Dodge St Ste 2, Omaha, NE 68131-3222 | 2020-09-22 |
1801401146 | Sarah Harlow | Peer Specialist | 910 W Park Ave, Norfolk, NE 68701-5044 | 2020-09-14 |
1124631098 | Juan Cruz | Peer Specialist | 11550 I St Ste 100, Omaha, NE 68137-1222 | 2020-08-28 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on JAE JOB.
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.