Provider Demographics
NPI:1679781975
Name:SIEVERS, JENNY (MS, LIMHP, LADC)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:SIEVERS
Suffix:
Gender:F
Credentials:MS, LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 S 16TH ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3796
Mailing Address - Country:US
Mailing Address - Phone:402-474-2500
Mailing Address - Fax:855-805-7913
Practice Address - Street 1:2222 S 16TH ST
Practice Address - Street 2:SUITE 420
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3796
Practice Address - Country:US
Practice Address - Phone:402-474-2500
Practice Address - Fax:855-805-7913
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP450101YA0400X
NE59101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE59OtherLICENSE NUMBER