Jessica Fuller, PLMHP | |
11515 S 39th St, Bellevue, NE 68123-5200 | |
(402) 292-9105 | |
(402) 292-0342 |
Full Name | Jessica Fuller |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 11515 S 39th St, Bellevue, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043777576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 11706 (Nebraska) | Primary |
Entity Name | Lutheran Family Services Of Ne Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639121726 PECOS PAC ID: 2163324773 Enrollment ID: O20040123000723 |
Mailing Address | Practice Location Address |
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Jessica Fuller, PLMHP 7929 W Center Rd, Omaha, NE 68124-3104 Ph: (877) 518-1070 | Jessica Fuller, PLMHP 11515 S 39th St, Bellevue, NE 68123-5200 Ph: (402) 292-9105 |
Katherine Kimmerling, LIMHP, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 Fort Crook Rd N, Bellevue, NE 68005 Phone: 402-292-9105 Fax: 402-292-0342 | |
Mrs. Alyson Nichole Carter, LIMHP, PLADC,CPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 W 29th Ave, Bellevue, NE 68005 Phone: 419-203-3620 | |
Veronica Villa, PLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1103 Galvin Rd S Ste L 1/2, Bellevue, NE 68005 Phone: 402-213-1655 | |
Nandi Nzingha Naomi Thomas, PLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 E Mission Ave, Bellevue, NE 68005 Phone: 402-257-1122 | |
Catherine Jo Howard, LMHP LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 Harlan Dr Ste 102, Bellevue, NE 68005 Phone: 402-850-0151 | |
Nina Wilson, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 Fort Crook Rd S, 401, Bellevue, NE 68005 Phone: 402-661-9102 |