Individual provider Active NPI

Rebecca Cooke, MSW, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1013520311
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2305 Issued in NE
Practice address
4001 Leavenworth St
Omaha, NE 68105-1026
Phone
(402) 341-5128
Fax
(402) 505-9803
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2305 NE Primary

Addresses

Primary practice location

4001 Leavenworth St
Omaha, NE 68105-1026

Mailing address

4001 Leavenworth St
Omaha, NE 68105-1026
Phone (402) 341-5128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527001738 NE Practitioner - Clinical Social Worker 6709285596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Alliance Rehabilitation ServicesGroup PAC ID 3173754884, 6 clinicians

Practice addresses (Care Compare)

7150 Arbor St
Omaha, NE 68106-3063
Phone (402) 341-5128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305NEMDMental Health Counselor
1306NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Alliance Rehabilitation Services CurrentSince Feb 25, 2021 Accepting new patients
Community Alliance Rehabilitation Services CurrentSince Feb 25, 2021 Accepting new patients

Locations

4001 Leavenworth St
Omaha, NE 68105
Phone (402) 341-5128

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1013520311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051026",
            "telephone_number": "402-341-5128",
            "fax_number": "402-505-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051026",
            "telephone_number": "402-341-5128",
            "fax_number": "402-505-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "REBECCA",
        "credential": "MSW, LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.