Provider Demographics
NPI:1407634603
Name:PICKERING, JAMI LEE (PLMHP, AMFT)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:LEE
Last Name:PICKERING
Suffix:
Gender:F
Credentials:PLMHP, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5315 SUMNER ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1351
Mailing Address - Country:US
Mailing Address - Phone:402-770-2249
Mailing Address - Fax:
Practice Address - Street 1:2320 S 48TH ST STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5513
Practice Address - Country:US
Practice Address - Phone:402-327-1174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13610106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist