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General NPI Number Information
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NPI Number | 1679797906
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Entity Type | Individual
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Provider Name | JEANETTE RAE GEARHART LMHP CSW
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2919 15TH ST
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City | COLUMBUS
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State | NE
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Zip | 68601-4809
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Country | US
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Telephone | 402-563-2466
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Fax | 402-563-2427
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Provider Business Mailing Address
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Address Line | 2904 14TH ST SUITE # 3
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City | COLUMBUS
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State | NE
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Zip | 68601-4854
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Country | US
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Telephone | 402-562-7933
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Fax | 402-562-7022
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2355
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 934
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License Number State | NE
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