Organization Active NPI

Rayebrook Behavioral Health and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, NE
National Provider Identifier
1164098513
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RAYEBROOK BEHAVIORAL HEALTH AND WELLNESS LLC
Practice address
4344 N 62ND St Ste 1
Lincoln, NE 68507-1215
Phone
(402) 730-2021
NPI assigned
May 27, 2021
Organization subpart
Yes
Parent organization
RAYEBROOK BEHAVIORAL HEALTH AND WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Richelle Dowding, PLMHPNPI 1649864091
Title
Mental Health Therapist
Phone
(402) 730-2021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4344 N 62ND St Ste 1
Lincoln, NE 68507-1215

Mailing address

4344 N 62ND St Ste 1
Lincoln, NE 68507-1215
Phone (402) 730-2021

Other identifiers 1

IdentifierTypeStateIssuer
1649864091OtherSELF-PAY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL richelle@rayebrook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231128000371 NE Part B Supplier - Clinic/Group Practice 1153779459 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory
Part of
Rayebrook Behavioral LLC

Locations

770 N Cotner Blvd
Ste 309
Lincoln, NE 68505

4344 N 62nd St
Ste 1
Lincoln, NE 68507
Phone (402) 730-2021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1164098513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 N 62ND ST STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071215",
            "telephone_number": "402-730-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 N 62ND ST STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071215",
            "telephone_number": "402-730-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYEBROOK BEHAVIORAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAYEBROOK BEHAVIORAL HEALTH AND WELLNESS LLC",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "DOWDING",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "402-730-2021",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF-PAY",
            "identifier": "1649864091",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "richelle@rayebrook.com",
            "affiliation": "N",
            "address_1": "4344 N 62nd St Ste 1",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685071215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.