Active NPI
Rachel Joy Smith, IMHP
- Clinical Social Worker
- Lincoln, NE
National Provider Identifier
1053868943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1802
- Practice address
- 2444 O St
Lincoln, NE 68510-1125 - Phone
- (402) 475-7666
- Fax
- (402) 476-9623
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10969 | NE | |
| Clinical Social Worker | 1041C0700X | 1802 | NE | Primary |
Addresses
Primary practice location
2444 O St
Lincoln, NE 68510-1125
Mailing address
2444 O St
Lincoln, NE 68510-1125
Phone (402) 475-7666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470398819 | Medicaid | NE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10969 | NE | MD | Mental Health Counselor |
| 1802 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1053868943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2444 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685101125",
"telephone_number": "402-475-7666",
"fax_number": "402-476-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2444 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685101125",
"telephone_number": "402-475-7666",
"fax_number": "402-476-9623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RACHEL",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "IMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10969",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470398819",
"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 Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.