Provider Demographics
NPI:1609255652
Name:COMPASSIONATE COUNSELING, P.C.
Entity Type:Organization
Organization Name:COMPASSIONATE COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:AESOPH
Authorized Official - Suffix:
Authorized Official - Credentials:MA LIMHP
Authorized Official - Phone:402-214-4344
Mailing Address - Street 1:511 N D ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-5051
Mailing Address - Country:US
Mailing Address - Phone:402-214-4344
Mailing Address - Fax:402-975-6012
Practice Address - Street 1:511 N D ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-5051
Practice Address - Country:US
Practice Address - Phone:402-214-4344
Practice Address - Fax:402-975-6012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1395101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1395OtherSTATE LICENSE