Individual ProviderJacob GleasonCounselorBehavioral Health & Social Service ProvidersPractice Address256 N 115th St Ste 3, Omaha, NE 68154-2558(402) 949-0577PECOS EnrollmentBased on the most recent information from CMS, provider Jacob Gleason does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1174191746Provider TypeIndividualFull NameGleason, JacobGenderMaleSole ProprietorNoEnumeration Date6/11/2021Last Updated2/26/2026Contact InformationPractice LocationPractice Address256 N 115th St Ste 3, Omaha, NE 68154-2558Phone(402) 949-0577FaxUnlisted FaxMailing LocationMailing Address256 N 115th St Ste 3, Omaha, NE 68154-2558Phone(402) 949-0577FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense13873Nebraska