MEDICARE: KATIE JONES LIMHP, LPC

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	101YP2500X	Professional Counselor	0017498	CO
2	101YP2500X	Professional Counselor	2323	NE
3	101YM0800X	Mental Health Counselor	1732	NE

General Provider Information

NPI Number	:	1902299761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE JONES LIMHP, LPC

Provider Business Mailing Address
First Line	:	700 SHANNON RD
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68046-2113
Country	:	US
Telephone Number	:	402-740-2343
Fax Number	:

Provider Business Practice Location Address
First Line	:	8424 W CENTER RD
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-3138
Country	:	US
Telephone Number	:	402-740-2343
Fax Number	:

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

Provider Enumeration Date	:	03/17/2015
Last Update Date	:	08/23/2024

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