Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jade Kelly Prusia, PLMHP

Individual provider Mental Health Counselor · NPI 1164145090

Jade Kelly Prusia, PLMHP is a Mental Health Counselor in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2022, 4 years ago. Practices as a sole proprietor.

Years since qualifying
4
Trained at
University of Nebraska College of Medicine
In the registry since
2022
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Practice location Address checks out

5217 S 28th St
Omaha, NE 68107-3402
Phone: (402) 715-5446
Fax: (402) 715-5452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13108

Record details

NPI number1164145090
Entity typeIndividual (Type 1)
GenderFemale
Credentials PLMHP
Sole proprietorYes
NPI enumeratedSeptember 26, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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