Healthcare Provider Details

I. General information

NPI: 1770954786
Provider Name (Legal Business Name): JILLIAN HOOVER LMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2015
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 S 42ND ST STE 328
OMAHA NE
68105-2943
US

IV. Provider business mailing address

1941 S 42ND ST STE 328
OMAHA NE
68105-2943
US

V. Phone/Fax

Practice location:
  • Phone: 402-608-9146
  • Fax: 833-450-0902
Mailing address:
  • Phone: 402-608-9146
  • Fax: 833-450-0902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-2374
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6469
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: