Provider Demographics
NPI:1649375643
Name:RIGGERT, JANA R (RN MS LPC LMNP)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:R
Last Name:RIGGERT
Suffix:
Gender:F
Credentials:RN MS LPC LMNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:677 E PINEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434
Mailing Address - Country:US
Mailing Address - Phone:402-643-4043
Mailing Address - Fax:402-643-4043
Practice Address - Street 1:729 SEWARD ST
Practice Address - Street 2:STE 2 BLUE VALLEY MENTAL HEALTH CENTER
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-2069
Practice Address - Country:US
Practice Address - Phone:402-643-3343
Practice Address - Fax:402-643-4048
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2120101YM0800X
NE1206101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE239192OtherMIDLANDS CHOICE
NE84787OtherBCBS