Healthcare Provider Details

I. General information

NPI: 1801758982
Provider Name (Legal Business Name): JENNIFER KOHLSCHEEN PLMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11404 W DODGE RD STE 300
OMAHA NE
68154-9603
US

IV. Provider business mailing address

1071 N 170TH AVE
OMAHA NE
68118-2910
US

V. Phone/Fax

Practice location:
  • Phone: 402-898-1113
  • Fax: 402-819-5588
Mailing address:
  • Phone: 402-898-1113
  • Fax: 402-819-5588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8250
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14531
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: