Provider Demographics
NPI:1386993962
Name:WORKMAN, JASON (LIMHP, LMHP, LADC)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:LIMHP, LMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11620 ARBOR ST STE 203
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2972
Mailing Address - Country:US
Mailing Address - Phone:402-504-4924
Mailing Address - Fax:402-505-3754
Practice Address - Street 1:10605 BURT CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2059
Practice Address - Country:US
Practice Address - Phone:402-218-1234
Practice Address - Fax:531-201-5609
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1249101YA0400X
NE4502101YM0800X
NE2192101YP2500X
NE1569101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional