Healthcare Provider Details

I. General information

NPI: 1922342195
Provider Name (Legal Business Name): ENCOUNTER TELEHEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2012
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S 74TH PLZ STE 300
OMAHA NE
68114-4667
US

IV. Provider business mailing address

PO BOX 24146
OMAHA NE
68124-0146
US

V. Phone/Fax

Practice location:
  • Phone: 844-485-3041
  • Fax: 402-504-9515
Mailing address:
  • Phone: 402-718-8846
  • Fax: 888-497-4233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LYNN AMIS
Title or Position: PRESIDENT & CEO
Credential:
Phone: 402-810-3214