Individual provider Active NPI

Ellen K. Rainbolt, M.S., LIMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1053465922
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LIMHP 437 Issued in NE
Practice address
5114 Locust St
Lincoln, NE 68516-1247
Phone
(402) 486-3010
Fax
(402) 486-4205
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHP 1427 NE
Mental Health Counselor 101YM0800X LIMHP 437 NE Primary

Addresses

Primary practice location

5114 Locust St
Lincoln, NE 68516-1247

Mailing address

5114 Locust St
Lincoln, NE 68516-1247
Phone (402) 486-3010

Other identifiers 6

IdentifierTypeStateIssuer
1427OtherNELMHP
437OtherNELIMHP
82OtherNECMFT
84984OtherNEBLUE CROSS BLUE SHIELD
345996000OtherNEMAGELLAN HEALTH
391913032-26MedicaidNE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LIMHP 437NEMDMental Health Counselor
LMHP 1427NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1053465922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 LOCUST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161247",
            "telephone_number": "402-486-3010",
            "fax_number": "402-486-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 LOCUST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161247",
            "telephone_number": "402-486-3010",
            "fax_number": "402-486-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINBOLT",
        "first_name": "ELLEN",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "M.S., LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "LMHP 1427",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "LIMHP 437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHP",
            "identifier": "1427",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMHP",
            "identifier": "437",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMFT",
            "identifier": "82",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84984",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH",
            "identifier": "345996000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391913032-26",
            "state": "NE"
        }
    ],
    "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 Dec 13, 2011; 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.