Fresh Start Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FRESH START THERAPY LLC

Practice address

1055 N 115TH St Ste 105
Omaha, NE 68154-4419

Phone

(402) 937-8619

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Andrew Eric Koepp, LIMHPNPI 1023781168

Title

President/Founder

Phone

(402) 937-8619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Eric Koepp, LIMHP

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1023781168
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1396574471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243331",
            "telephone_number": "402-740-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 115TH ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544419",
            "telephone_number": "402-937-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "KOEPP",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "402-937-8619",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleen D Frenchman
• Charlotte Rae Frenette, DPT
• Julie Frerichs
• Jana Frese
• Fresh Start Private Midwest LLC
• Alexis Brooke Freshman
• Emily Freske
• Thomas Allan Frette, ATC
• Donald R. Frey, M.D.
• Kelly Lynn Frey, SLP

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.

Verify at the official NPI Registry.