Individual provider Active NPI

Teddi A Reckling, LIMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1619016193
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
609 Issued in NE
Practice address
2211 W Millstone Rd
Lincoln, NE 68522-1168
Phone
(402) 435-5873
Fax
(402) 435-5873
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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 609 NE Primary

Addresses

Primary practice location

2211 W Millstone Rd
Lincoln, NE 68522-1168

Mailing address

2211 W Millstone Rd
Lincoln, NE 68522-1168
Phone (402) 435-5873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: No
  • 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
I20090123000382 NE Practitioner - Clinical Social Worker 1951465624 Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
576NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc Mental Health PastSince Nov 1, 2009 Accepting new patients

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1619016193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W MILLSTONE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221168",
            "telephone_number": "402-435-5873",
            "fax_number": "402-435-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W MILLSTONE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221168",
            "telephone_number": "402-435-5873",
            "fax_number": "402-435-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKLING",
        "first_name": "TEDDI",
        "middle_name": "A",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.