Provider Demographics
NPI:1316661226
Name:JONES, TI'ESHA (LIMHP, CPC, PLADC)
Entity type:Individual
Prefix:
First Name:TI'ESHA
Middle Name:
Last Name:JONES
Suffix:
Gender:
Credentials:LIMHP, CPC, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5814 S 142ND ST STE B
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2855
Mailing Address - Country:US
Mailing Address - Phone:402-979-6631
Mailing Address - Fax:
Practice Address - Street 1:5814 S 142ND ST STE B
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2855
Practice Address - Country:US
Practice Address - Phone:402-979-6631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3037101YM0800X
NE4013101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health