Active NPI
Rodney William Kohl, PH.D.
- Clinical Psychologist
- Lincoln, NE
National Provider Identifier
1619022571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 434
- Practice address
- 1617 Normandy CT
Suite 100
Lincoln, NE 68512-1474 - Phone
- (402) 420-1617
- Fax
- (402) 420-1619
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 434 | NE | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 434 | NE |
Addresses
Primary practice location
1617 Normandy CT
Suite 100
Lincoln, NE 68512-1474
Mailing address
1617 Normandy CT
Suite 100
Lincoln, NE 68512-1474
Phone (402) 420-1617
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470817089-00 | Medicaid | NE | |
| 08416 | Other | NE | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1617 Normandy Court
Suite 100
Lincoln, NE 68512-1474
1617 Normandy CT
Lincoln, NE 68512-1474
Phone 4024201617206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 434 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rod W. Kohl, P.C. | Clinical Child & Adolescent | Current | Accepting new patients |
| Russ Hansen MSPC | Past | Accepting new patients |
Locations
1617 Normandy Ct
Ste 100
Lincoln, NE 68512
Phone (402) 420-1617
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.
-
- Clinical Child & Adolescent Psychologist
- Lincoln, NE
- NPI 1699938035
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1568811388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1619022571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 NORMANDY CT",
"address_2": "SUITE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121474",
"telephone_number": "402-420-1617",
"fax_number": "402-420-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 NORMANDY CT",
"address_2": "SUITE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121474",
"telephone_number": "402-420-1617",
"fax_number": "402-420-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHL",
"first_name": "RODNEY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "434",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NE",
"license": "434",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470817089-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08416",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.