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JADE KELLY PRUSIA PLMHP
NPI 1164145090
Counselor - Mental Health in Omaha, NE

Active since September 26, 2022PECOS Enrolled
5217 S 28TH ST, OMAHA, NE 68107(402) 715-5446(402) 715-5452 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jade Kelly Prusia Plmhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADE KELLY PRUSIA PLMHP (NPI 1164145090) is an individual mental health provider in Omaha, Nebraska, licensed in (13108) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2022).

NPPES Registry Identity

NPI1164145090
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJADE KELLY PRUSIACredential: PLMHP
Location Address5217 S 28TH STOmaha, NE 68107-3402
Mailing Address2723 Q StOmaha, NE 68107-3408 · (402) 715-5446
Phone(402) 715-5446
Fax(402) 715-5452
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2022
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
✔ NPI 1164145090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · 13108
5217 S 28TH ST, Omaha, NE 68107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jade Kelly Prusia Plmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830672187
PECOS Enrollment IDI20260313003463
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GILBERT WYNSTON NOWAK PLADC
Counselor (Addiction (Substance Use Disorder))
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5446
KERRI ANN TAYLOR LIMHP
Counselor (Mental Health)
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5496
STEPHEN CENTER, INC.
Substance Abuse Rehabilitation Facility
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5440
BROOKLYNN PRUSSING PLMHP
Counselor (Addiction (Substance Use Disorder))
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5446
MR. MICHAEL HINOJOSA
Counselor (Addiction (Substance Use Disorder))
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5446
MEDJINE DESGRAVES PLMHP
Counselor (Mental Health)
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5449
MR. JAMAL MORTON LIMHP
Counselor (Mental Health)
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5446
MIKE SMITH
Occupational Therapist (Mental Health)
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jade Prusia's NPI number?

The NPI number for Jade Prusia is 1164145090. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Jade Prusia located?

Jade Prusia practices at 5217 S 28th St, Omaha, NE 68107. The listed phone number is (402) 715-5446.

What is Jade Prusia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jade Prusia enrolled in Medicare?

Yes. Jade Prusia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jade Prusia was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.