MEDICARE: JENNIFER L HARMON IMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	959	NE
2	1041C0700X	Clinical Social Worker	1355	NE
3	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154507614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER L HARMON IMHP

Provider Business Mailing Address
First Line	:	985450 NEBRASKA MEDICAL CTR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-5450
Country	:	US
Telephone Number	:	402-559-8943
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 HILLCREST DR
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-3636
Country	:	US
Telephone Number	:	402-682-6599
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2008
Last Update Date	:	08/29/2025

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