Individual provider Active NPI

Sarah Michal Roe

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1659093482
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5752 Issued in NE
Practice address
5632 S 94TH PLZ Apt 3
Omaha, NE 68127-3437
Phone
(319) 217-1499
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 5752 NE Primary

Addresses

Primary practice location

5632 S 94TH PLZ Apt 3
Omaha, NE 68127-3437

Mailing address

5632 S 94TH PLZ Apt 3
Omaha, NE 68127-3437
Phone (319) 217-1499

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
I20240912003767 NE Practitioner - Mental Health Counselor 2567902828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5752NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Roe Psychotherapy, LLC Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

13304 W Center Rd
Ste 230
Omaha, NE 68144
Phone (402) 290-8153

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1659093482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 S 94TH PLZ APT 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273437",
            "telephone_number": "319-217-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 S 94TH PLZ APT 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273437",
            "telephone_number": "319-217-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "SARAH",
        "middle_name": "MICHAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.