Kelli Rae Flesch
Individual provider Active NPI Mental Health Counselor · MC Cook, NE
NPI 1336738004 · NPPES record last updated Jan 15, 2021
Key facts
- NPI
- 1336738004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 12472 (NE)
- Practice address
- 601 Norris Ave
MC Cook, NE 69001-3140 - Phone
- (308) 345-4067
- Fax
- (308) 345-0607
- NPI assigned
- Jan 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ambience Counseling Center LLC
Practice addresses (Care Compare)
601 Norris Ave
MC Cook, NE 69001-3140
Phone (308) 345-4067
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250812003547 | NE | Practitioner - Mental Health Counselor | 9032617683 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018004402 | NE | MD | School Counselor |
| 12472 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambience Counseling Center, LLC | Current |
Accepting new patients | |
| Resounding Hope LLC | Mental Health | Current | Accepting new patients |
| Flatland Center for Brain LLC | Mental Health | Past | Accepting new patients |
Locations
601 Norris Ave
McCook, NE 69001
Phone (308) 345-4067
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 2018004402 | NE | |
| Mental Health Counselor | 101YM0800X | 12472 | NE | Yes |
Addresses
Primary practice location
601 Norris Ave
MC Cook, NE 69001-3140
Mailing address
803 Darlin St
Sutherland, NE 69165-7246
Phone (308) 529-1860
Other providers in MC Cook, NE
- Hailey Farr
- Chris Farrell
- Farrells Pharmacy Inc
- Tanna Felcher
- Hope Ann Ferguson
- Frank E Williams IV OD PC
- Sara Frank
- Franssen Orthopedics PC
- Scott L Franssen
- Janet Freemyer
All providers in MC Cook, NE · Mental Health Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.