Jennifer Johnson | Omaha, NE • PECOS Search

Jennifer Johnson

Counselor

Behavioral Health & Social Service Providers

11717 Burt St Ste 203, Omaha, NE 68154-1500

(402) 302-2775 (402) 203-2752

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Johnson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:51 AM.

Profile Details

Provider ID
1942998422
Provider Type
Individual
Full Name
Johnson, Jennifer
Title
Mrs.
Credential
PLMHP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/24/2023
Last Updated
4/24/2023

Contact Information

Practice Location

11717 Burt St Ste 203, Omaha, NE 68154-1500

Unlisted Fax

Mailing Location

6915 N 55th Cir, Omaha, NE 68152-2423

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer