Individual provider Active NPI

Jeffrey Franklin Wibel, LCSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1205164563
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1067 Issued in NE
Practice address
11605 Arbor St Ste 102
Omaha, NE 68144-2982
Phone
(402) 330-0960
NPI assigned
Nov 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 1067 NE Primary

Addresses

Primary practice location

11605 Arbor St Ste 102
Omaha, NE 68144-2982

Mailing address

6111 N 109TH St
Omaha, NE 68164-1500
Phone (402) 249-6029

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
I20231204000301 NE Practitioner - Clinical Social Worker 9335597293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Alliance Rehabilitation Services CurrentSince Jan 1, 2024 Accepting new patients
Community Alliance Rehabilitation Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

4001 Leavenworth St
Omaha, NE 68105
Phone (402) 341-5128

Organizations & group practices 2

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": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1205164563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 N 109TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641500",
            "telephone_number": "402-249-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 ARBOR ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442982",
            "telephone_number": "402-330-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIBEL",
        "first_name": "JEFFREY",
        "middle_name": "FRANKLIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.