JACQUELINE L FARRIS
NPI 1639609050
Counselor - Professional in Omaha, NE

Active since June 18, 2017PECOS EnrolledAccepts Medicare Assignment
17500 BURKE ST, OMAHA, NE 68118(402) 401-3000 Get Directions Write a Review

NPPES record last updated: September 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Jacqueline L Farris NPPES

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

JACQUELINE L FARRIS (NPI 1639609050) is an individual professional provider in Omaha, Nebraska and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Omaha, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639609050
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE L FARRIS
Location Address17500 BURKE STOmaha, NE 68118-2244
Mailing Address3707 N 108th StOmaha, NE 68164-2940 · (402) 995-9341
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 18, 2017
Last NPPES UpdateSeptember 9, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2023
✔ NPI 1639609050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
17500 BURKE ST, Omaha, NE 68118

Secondary Practice Location 1

Location 13707 N 108th StreetOmaha, NE 68164 · Phone (402) 995-9341

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline L Farris is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032460134
PECOS Enrollment IDI20181001000404
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacqueline Farris reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
3661 N 129TH ST
Omaha, NE 68164
  • Reassigned Medicare billing, Nebraska enrollment
  • 2 clinicians in this Medicare group
Physical Medicine & Rehabilitation
5401 SOUTH ST
Lincoln, NE 68506
  • Reassigned Medicare billing, Nebraska enrollment
  • 167 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Hospitalist
17500 BURKE ST
OMAHA, NE 68118
Physical Therapist
17500 BURKE ST
OMAHA, NE 68118
Occupational Therapist
17500 BURKE ST
OMAHA, NE 68118
Occupational Therapist
17500 BURKE ST
OMAHA, NE 68118
Physical Therapist
17500 BURKE ST
OMAHA, NE 68118
Speech-Language Pathologist
17500 BURKE ST
OMAHA, NE 68118
Occupational Therapist
17500 BURKE ST
OMAHA, NE 68118
Physical Therapist
17500 BURKE ST
OMAHA, NE 68118

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 Jacqueline Farris's NPI number?

The NPI number for Jacqueline Farris is 1639609050. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Jacqueline Farris located?

Jacqueline Farris practices at 17500 Burke St, Omaha, NE 68118. The listed phone number is (402) 401-3000.

What is Jacqueline Farris's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacqueline Farris enrolled in Medicare?

Yes. Jacqueline Farris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacqueline Farris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Farris reassigns Medicare benefits to 2 organizations: Hope To Healing Counseling Center, LLC (Omaha, NE) and Madonna Rehabilitation Hospital (Lincoln, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Farris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Farris accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Jacqueline Farris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Farris was last updated on September 9, 2023. 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.