Provider Demographics
NPI:1851145254
Name:GIRIJA KUMAR, JAISY (LIMHP, LADC, LPC)
Entity Type:Individual
Prefix:
First Name:JAISY
Middle Name:
Last Name:GIRIJA KUMAR
Suffix:
Gender:F
Credentials:LIMHP, LADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13209 S 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-1935
Mailing Address - Country:US
Mailing Address - Phone:402-350-2803
Mailing Address - Fax:
Practice Address - Street 1:13209 S 26TH AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-1935
Practice Address - Country:US
Practice Address - Phone:402-350-2803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1480101YA0400X
NE2325101YP2500X
NE1648101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional