NPIMap

Organization Active NPI

Restore Rebuild Reconnect Counseling Center

  • Adult Mental Health Clinic/Center
  • Omaha, NE
National Provider Identifier
1679128318
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RESTORE REBUILD RECONNECT COUNSELING CENTER
Practice address
1941 S 42ND St Ste 506
Omaha, NE 68105-2982
Phone
(402) 788-4846
Fax
(402) 702-0664
NPI assigned
Aug 8, 2019
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Larhonda Flowers, LIMHP LADCNPI 1720464795
Title
Owner
Phone
(402) 917-1054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

1941 S 42ND St Ste 506
Omaha, NE 68105-2982

Mailing address

1941 S 42ND St Ste 506
Omaha, NE 68105-2982
Phone (402) 788-4846

Other practice location 1

11414 W Center Rd Ste 300
Omaha, NE 68144-4420
Phone (402) 917-1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240325000879 NE Part B Supplier - Clinic/Group Practice 3678910809 Receives reassigned benefits from 7 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

1941 S 42nd St
Ste 506
Omaha, NE 68105
Phone (402) 788-4846

1941 S 42nd St
Ste 523
Omaha, NE 68105

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1679128318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 506",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052982",
            "telephone_number": "402-788-4846",
            "fax_number": "402-702-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 506",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052982",
            "telephone_number": "402-788-4846",
            "fax_number": "402-702-0664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11414 W Center Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681444420",
            "country_code": "US",
            "telephone_number": "402-917-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE REBUILD RECONNECT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "LARHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-917-1054",
        "authorized_official_credential": "LIMHP LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.