Healthcare Provider Details

I. General information

NPI: 1770862872
Provider Name (Legal Business Name): AMBER DAWN JURGENSMEIER LIMHP, LCSW, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2011
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11605 MIRACLE HILLS DR STE 300
OMAHA NE
68154-4467
US

IV. Provider business mailing address

11605 MIRACLE HILLS DR STE 300
OMAHA NE
68154-4467
US

V. Phone/Fax

Practice location:
  • Phone: 402-238-1431
  • Fax: 402-281-1862
Mailing address:
  • Phone: 402-340-4909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1317
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1561
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number946
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: