Individual ProviderJennifer W DouglasCounselorBehavioral Health & Social Service ProvidersPractice Address10845 Harney St, Omaha, NE 68154-2639(402) 330-3360PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer W Douglas 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 ID1497112064Provider TypeIndividualFull NameDouglas, Jennifer WTitleMrs.CredentialPLMHPGenderFemaleSole ProprietorNoEnumeration Date1/26/2016Last Updated1/26/2016Contact InformationPractice LocationPractice Address10845 Harney St, Omaha, NE 68154-2639Phone(402) 330-3360FaxUnlisted FaxMailing LocationMailing Address10845 Harney St, Omaha, NE 68154-2639Phone(402) 330-3360FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense10776NebraskaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense10776Nebraska