Provider Demographics
NPI:1467538744
Name:DAY, JONI MARIE (MS)
Entity Type:Individual
Prefix:MS
First Name:JONI
Middle Name:MARIE
Last Name:DAY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6215 HOLDREGE ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-1604
Mailing Address - Country:US
Mailing Address - Phone:402-890-0687
Mailing Address - Fax:402-467-1353
Practice Address - Street 1:6215 HOLDREGE ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-1604
Practice Address - Country:US
Practice Address - Phone:402-890-0687
Practice Address - Fax:402-467-1353
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112101YA0400X
NE1426106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84010OtherBCBS
NE10025086800Medicaid
NE11724OtherMIDLANDS