Active NPI
Rayebrook Behavioral Health and Wellness LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincoln, NE
National Provider Identifier
1164098513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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 LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richelle Dowding, PLMHP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649864091 | Other | SELF-PAY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | richelle@rayebrook.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.