Provider Demographics
NPI:1720139058
Name:REMINGTON, JANELLE ROXANNE (MA, LMHP, CPC)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:ROXANNE
Last Name:REMINGTON
Suffix:
Gender:F
Credentials:MA, LMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 PIONEERS BLVD
Mailing Address - Street 2:SUITE 218
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-5963
Mailing Address - Country:US
Mailing Address - Phone:402-327-2827
Mailing Address - Fax:402-327-2783
Practice Address - Street 1:3201 PIONEERS BLVD
Practice Address - Street 2:SUITE 218
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-5963
Practice Address - Country:US
Practice Address - Phone:402-327-2827
Practice Address - Fax:402-327-2783
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84619OtherBLUE CROSS BLUE SHIELD