Individual provider Active NPI

Rebecca S Walkowiak, M.A.

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1407879810
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2351 Issued in NE
Practice address
3700 Sheridan Blvd
Ste 1
Lincoln, NE 68506-6100
Phone
(402) 489-1834
Fax
(402) 489-2046
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2351 NE Primary

Addresses

Primary practice location

3700 Sheridan Blvd
Ste 1
Lincoln, NE 68506-6100

Mailing address

3700 Sheridan Blvd
Ste 1
Lincoln, NE 68506-6100
Phone (402) 489-1834

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
I20240203000078 NE Practitioner - Mental Health Counselor 0042653370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immaculate Heart of Mary Counseling CenterGroup PAC ID 8628424181, 7 clinicians

Practice addresses (Care Compare)

3700 Sheridan Blvd
Suite 1
Lincoln, NE 68506-6100
Phone (402) 489-1834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Immaculate Heart of Mary Counseling Center Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

8055 O St
Ste 301
Lincoln, NE 68510
Phone (402) 798-1304

3700 Sheridan Blvd
Ste 1
Lincoln, NE 68506

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407879810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SHERIDAN BLVD",
            "address_2": "STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066100",
            "telephone_number": "402-489-1834",
            "fax_number": "402-489-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SHERIDAN BLVD",
            "address_2": "STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066100",
            "telephone_number": "402-489-1834",
            "fax_number": "402-489-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKOWIAK",
        "first_name": "REBECCA",
        "middle_name": "S",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.