Healthcare Provider Details

I. General information

NPI: 1285098905
Provider Name (Legal Business Name): MEGAN JELINEK LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 SWEETWATER AVE
ALLIANCE NE
69301-2668
US

IV. Provider business mailing address

137 W 21ST ST
ALLIANCE NE
69301-2103
US

V. Phone/Fax

Practice location:
  • Phone: 308-762-4331
  • Fax:
Mailing address:
  • Phone: 402-890-3624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2310
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: