Individual provider Active NPI

Kathryn Robbins Case, LCSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1275933145
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3980 Issued in NE
Practice address
11909 Arbor St
Omaha, NE 68144-4400
Phone
(402) 366-0962
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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 3980 NE Primary
Clinical Social Worker 1041C0700X 1424 NE

Addresses

Primary practice location

11909 Arbor St
Omaha, NE 68144-4400

Mailing address

11909 Arbor St
Omaha, NE 68144-4400
Phone (402) 366-0962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20171116002535 IA Practitioner - Clinical Social Worker 3779849179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Mind Therapy LLCGroup PAC ID 4486920089, 4 clinicians

Practice addresses (Care Compare)

35 Main PL
Suite 100
Council Bluffs, IA 51503-0706
Phone (712) 256-9902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1424NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Mind Therapy LLC Mental Health CurrentSince Oct 1, 2017 Accepting new patients

Locations

35 Main Pl
Ste 100
Council Bluffs, IA 51503
Phone (712) 256-9902

Organizations & group practices 1

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1275933145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444400",
            "telephone_number": "402-366-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444400",
            "telephone_number": "402-366-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS CASE",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3980",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.