Individual provider Active NPI

Rebecca E Hood-Kjeldgaard, LIMHP, LMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1164693701
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
913 Issued in NE
Practice address
222 S 29TH St
Omaha, NE 68131-3543
Phone
(402) 345-6555
Fax
(402) 345-0635
NPI assigned
Mar 21, 2008
Last updated
Feb 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 913 NE Primary

Addresses

Primary practice location

222 S 29TH St
Omaha, NE 68131-3543

Mailing address

222 S. 29TH Street
Omaha, NE 68131
Phone (402) 345-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
913NEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1164693701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S. 29TH STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68131",
            "telephone_number": "402-345-6555",
            "fax_number": "402-345-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S 29TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313543",
            "telephone_number": "402-345-6555",
            "fax_number": "402-345-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD-KJELDGAARD",
        "first_name": "REBECCA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LIMHP, LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.