MEDICARE: MS. JENNIFER ANNE MELTON LIMHP

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	3484	NE
2	101YP2500X	Professional Counselor	1749	NE

General Provider Information

NPI Number	:	1720215809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER ANNE MELTON LIMHP

Provider Business Mailing Address
First Line	:	915 S 32ND ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-3229
Country	:	US
Telephone Number	:	402-429-0280
Fax Number	:

Provider Business Practice Location Address
First Line	:	7501 O ST STE 100
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2485
Country	:	US
Telephone Number	:	402-477-0651
Fax Number	:

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

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	09/15/2025

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