MEDICARE: JULIA CONNIE SMRECEK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	14881	NE

General Provider Information

NPI Number	:	1558083097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA CONNIE SMRECEK

Provider Business Mailing Address
First Line	:	PO BOX 27103
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55427-0103
Country	:	US
Telephone Number	:	414-491-4641
Fax Number	:

Provider Business Practice Location Address
First Line	:	8601 W DODGE RD STE 106
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-3430
Country	:	US
Telephone Number	:	402-575-5577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	05/07/2026

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Directions to “ JULIA CONNIE SMRECEK ” Practice Location

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