Individual provider Active NPI

Raquel Moreno Izaguirre, LICSW, LIMHP, PLADC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1013501634
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4144 Issued in NE
Practice address
4535 Normal Blvd Ste 212
Lincoln, NE 68506-2891
Phone
(402) 413-9758
NPI assigned
Feb 24, 2021
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12463 NE
Mental Health Counselor 101YM0800X 4144 NE Primary
Clinical Social Worker 1041C0700X 7567 NE
Clinical Social Worker 1041C0700X 2532 NE
Adult Companion 372600000X NU

Addresses

Primary practice location

4535 Normal Blvd Ste 212
Lincoln, NE 68506-2891

Mailing address

4535 Normal Blvd Ste 235
Lincoln, NE 68506-2891
Phone (402) 440-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12463NEMDNephrology Physician
4144NEMDPhysical Therapist
2532NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Roots Support Services LLC Mental Health CurrentSince Aug 3, 2025 Accepting new patients

Locations

4535 Normal Blvd
Ste 212
Lincoln, NE 68506
Phone (402) 314-7862

4535 Normal Blvd
Ste 235
Lincoln, NE 68506
Phone (402) 207-1050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1013501634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 NORMAL BLVD STE 235",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062891",
            "telephone_number": "402-440-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 NORMAL BLVD STE 212",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062891",
            "telephone_number": "402-413-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO IZAGUIRRE",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "LICSW, LIMHP, PLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12463",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4144",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "7567",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2532",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.