Individual provider Active NPI

Kathryn Wolfe

  • Counselor
  • Omaha, NE
National Provider Identifier
1639760549
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12493 Issued in NE
Practice address
3223 N 45TH St
Omaha, NE 68104-3711
Phone
(402) 455-0808
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 12493 NE Primary

Addresses

Primary practice location

3223 N 45TH St
Omaha, NE 68104-3711

Mailing address

3223 N 45TH St
Omaha, NE 68104-3711
Phone (402) 455-0808

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
I20260102001639 NE Practitioner - Mental Health Counselor 1658867213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10845 Harney St
Omaha, NE 68154-2637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12493NEMDPharmacist
4342NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Citycare Counseling, Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

10845 Harney St
Ste 200
Omaha, NE 68154

10845 Harney St
Omaha, NE 68154
Phone (402) 330-3360

3223 N 45th St
Omaha, NE 68104
Phone (402) 359-3817

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1639760549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N 45TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043711",
            "telephone_number": "402-455-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N 45TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043711",
            "telephone_number": "402-455-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "12493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.