Individual provider Active NPI

Rachel Hughes, LISW

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1144690132
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1612 Issued in NE
Practice address
2001 S 75TH St
Suite 100
Omaha, NE 68124-2475
Phone
(402) 398-5550
Fax
(402) 398-5713
NPI assigned
Oct 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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 1464 NE
Clinical Social Worker 1041C0700X 1612 NE Primary

Addresses

Primary practice location

2001 S 75TH St
Suite 100
Omaha, NE 68124-2475

Mailing address

20324 Veterans Dr Ste 104
Elkhorn, NE 68022-3552
Phone (402) 933-5700

Other practice location 1

20324 Veterans Dr Ste 104
Elkhorn, NE 68022-3552
Phone (402) 933-5700

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
I20151123000622 NE Practitioner - Clinical Social Worker 1658671797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1612NEMDMental Health Counselor
1464NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Camp-Grimit Petersen LLC CurrentSince May 1, 2022 Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients
Lotus Psychotherapy, LLC Clinical PastSince May 1, 2022 Accepting new patients

Locations

18049 Oak St
Omaha, NE 68130
Phone (402) 403-5222

Organizations & group practices 3

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": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1144690132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20324 VETERANS DR STE 104",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223552",
            "telephone_number": "402-933-5700",
            "fax_number": "402-933-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S 75TH ST",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242475",
            "telephone_number": "402-398-5550",
            "fax_number": "402-398-5713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20324 Veterans Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680223552",
            "country_code": "US",
            "telephone_number": "402-933-5700",
            "fax_number": "402-933-9998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "RACHEL",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1464",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.