MR. JOHNATHAN MICHAEL ROY
NPI 1790120194
Counselor - Professional in Lincoln, NE

Active since April 30, 2013Opted out of Medicare · through Jan 1, 2028
3201 PIONEERS BLVD STE 218, LINCOLN, NE 68502(402) 413-7171 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Johnathan Michael Roy NPPES

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

MR. JOHNATHAN MICHAEL ROY (NPI 1790120194) is an individual professional provider in Lincoln, Nebraska, licensed in Nebraska (5383) and active in the NPI registry since April 2013. He has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1790120194
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOHNATHAN MICHAEL ROY
Location Address3201 PIONEERS BLVD STE 218Lincoln, NE 68502-5963
Mailing Address3201 Pioneers Blvd Ste 218Lincoln, NE 68502-5963 · (402) 413-5525
Sole ProprietorNo
Enumeration DateApril 30, 2013
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
NPI 1790120194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NE · 5383
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3201 PIONEERS BLVD STE 218, Lincoln, NE 68502

Secondary Practice Location 1

Location 11430 Olive St Ste 500Saint Louis, MO 63103-2377 · Phone (314) 206-3700

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Johnathan Michael Roy has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Psychologist (Counseling)
3201 PIONEERS BLVD STE 218
LINCOLN, NE 68502
Psychologist (Counseling)
3201 PIONEERS BLVD STE 218
LINCOLN, NE 68502
Counselor (Mental Health)
3201 PIONEERS BLVD STE 218
LINCOLN, NE 68502
Counselor (Mental Health)
3201 PIONEERS BLVD STE 218
LINCOLN, NE 68502

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 Johnathan Roy's NPI number?

The NPI number for Johnathan Roy is 1790120194. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is Johnathan Roy located?

Johnathan Roy practices at 3201 Pioneers Blvd Ste 218, Lincoln, NE 68502. The listed phone number is (402) 413-7171.

What is Johnathan Roy's specialty?

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

Is Johnathan Roy enrolled in Medicare?

No. Johnathan Roy has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Johnathan Roy accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Johnathan Roy 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 Johnathan Roy was last updated on June 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.