Provider Demographics
NPI:1780883124
Name:BECK-JACOBSON, JACQUELINE K (LMHP, CPC)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:K
Last Name:BECK-JACOBSON
Suffix:
Gender:F
Credentials:LMHP, CPC
Other - Prefix:MISS
Other - First Name:JACQUELINE
Other - Middle Name:K
Other - Last Name:BECK-MEYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2315 N 60TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-4009
Mailing Address - Country:US
Mailing Address - Phone:402-770-9417
Mailing Address - Fax:
Practice Address - Street 1:2315 N 60TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-4009
Practice Address - Country:US
Practice Address - Phone:402-770-9417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1617101YP2500X
CO0022230101YP2500X
NE3115101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional