Healthcare Provider Details

I. General information

NPI: 1104774561
Provider Name (Legal Business Name): JESUS A ESQUIVEL LIMHP PLADC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JESSE ESQUIVEL LIMHP PLADC

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6911 VAN DORN ST STE 1
LINCOLN NE
68506-6801
US

IV. Provider business mailing address

1511 D ST
LINCOLN NE
68502-1447
US

V. Phone/Fax

Practice location:
  • Phone: 402-991-8093
  • Fax: 402-505-9726
Mailing address:
  • Phone: 402-570-7645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4376
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: