Individual provider Active NPI

Rachael Griffin, LMHP, LCSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1518247360
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5207 Issued in NE
Practice address
4940 S 114TH St Ste 2
Omaha, NE 68137-2377
Phone
(402) 431-2835
Fax
(531) 200-0374
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1787 NE
Mental Health Counselor 101YM0800X 5207 NE Primary

Addresses

Primary practice location

4940 S 114TH St Ste 2
Omaha, NE 68137-2377

Mailing address

4940 S 114TH St Ste 2
Omaha, NE 68137-2377
Phone (712) 304-0832

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5207NEMDMental Health Counselor
1787NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ray of Resilience Therapy Services, LLC Mental Health CurrentSince Dec 31, 2023 Accepting new patients

Locations

4940 S 114th St
Ste 2
Omaha, NE 68137
Phone (402) 431-2835

4611 S 96th St
Ste 165
Omaha, NE 68127

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1518247360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 S 114TH ST STE 2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372377",
            "telephone_number": "712-304-0832",
            "fax_number": "402-819-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 S 114TH ST STE 2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372377",
            "telephone_number": "402-431-2835",
            "fax_number": "531-200-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "RACHAEL",
        "name_prefix": "Mrs.",
        "credential": "LMHP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1787",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.