Individual provider Active NPI

Tachelle Reeker, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1649869215
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
120 S 24TH St Ste 100
Omaha, NE 68102-1205
Phone
(402) 342-7007
NPI assigned
Jan 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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 Primary

Addresses

Primary practice location

120 S 24TH St Ste 100
Omaha, NE 68102-1205

Mailing address

124 S 24TH St Ste 230
Omaha, NE 68102-1226
Phone (402) 978-5644

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
I20240120000231 NE Practitioner - Mental Health Counselor 2961854476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus C3, PCGroup PAC ID 6103152947, 15 clinicians

Practice addresses (Care Compare)

10748 Virginia PLZ
Suite 107
La Vista, NE 68128-3265
Phone (402) 933-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Focus C3, PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Lutheran Family Services of NE, Inc Mental Health CurrentSince Jan 24, 2021 Accepting new patients

Locations

10748 Virginia Plz
Ste 107
Lavista, NE 68128
Phone (402) 933-4411

124 S 24th St
Ste 230
Omaha, NE 68102
Phone (402) 591-5078

120 S 24th St
Ste 100
Omaha, NE 68102
Phone (402) 342-7007

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": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1649869215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S 24TH ST STE 230",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021226",
            "telephone_number": "402-978-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 24TH ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021205",
            "telephone_number": "402-342-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEKER",
        "first_name": "TACHELLE",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.