Healthcare Provider Details

I. General information

NPI: 1184199374
Provider Name (Legal Business Name): MRS. JENNIFER N SATHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 GILES RD
OMAHA NE
68157-2641
US

IV. Provider business mailing address

4700 GILES RD
OMAHA NE
68157-2641
US

V. Phone/Fax

Practice location:
  • Phone: 531-299-9065
  • Fax:
Mailing address:
  • Phone: 531-299-9065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1600
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4636
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: