Individual provider Active NPI

Nicole Marie Obrecht, LMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1407928559
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2960 Issued in NE
Practice address
2809 S 160TH St Ste 101
Omaha, NE 68130-1755
Phone
(402) 800-7276
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 2960 NE Primary

Addresses

Primary practice location

2809 S 160TH St Ste 101
Omaha, NE 68130-1755

Mailing address

2809 S 160TH St Ste 101
Omaha, NE 68130-1755
Phone (402) 707-3835

Other practice location 1

5814 S 142nd St Ste B
Omaha, NE 68137-2855
Phone (402) 707-3835

Other practice location 2

4535 Leavenworth St Ste 4
Omaha, NE 68106-1453
Phone (402) 558-3856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2809 S 160TH St
Suite 101
Omaha, NE 68130-1755

4456 Rainbow Blvd
Kansas City, KS 66103-3447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2960NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Goldenrod Counseling LLC Mental Health Current Accepting new patients
Mussmann Enterprises Inc. Mental Health Past Accepting new patients

Locations

5814 S 142nd St
Ste B
Omaha, NE 68137
Phone (402) 881-0059

2809 S 160th St
Ste 101
Omaha, NE 68130
Phone (402) 205-5120

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1407928559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 S 160TH ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301755",
            "telephone_number": "402-707-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 S 160TH ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301755",
            "telephone_number": "402-800-7276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5814 S 142nd St Ste B",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681372855",
            "country_code": "US",
            "telephone_number": "402-707-3835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4535 Leavenworth St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681061453",
            "country_code": "US",
            "telephone_number": "402-558-3856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBRECHT",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.