Provider Demographics
NPI:1720281462
Name:RICH, JAMIE JULIA (MA PLMHP)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:JULIA
Last Name:RICH
Suffix:
Gender:F
Credentials:MA PLMHP
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:JULIA
Other - Last Name:KNEIFL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:3300 NO 60TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104
Mailing Address - Country:US
Mailing Address - Phone:402-554-0520
Mailing Address - Fax:402-551-8797
Practice Address - Street 1:3020 18TH STREET
Practice Address - Street 2:STE 17
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601
Practice Address - Country:US
Practice Address - Phone:402-563-3833
Practice Address - Fax:402-562-8714
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEPLMHP8306101YM0800X
NE1059101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health