Individual provider Active NPI

Laura M Koch

  • Mental Health Counselor
  • Beatrice, NE
National Provider Identifier
1720364847
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1123 N 9TH St
Beatrice, NE 68310-2041
Phone
(402) 228-3386
NPI assigned
Nov 2, 2011
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 NE Primary

Addresses

Primary practice location

1123 N 9TH St
Beatrice, NE 68310-2041

Mailing address

1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386

Other names 1

  • Laura M Wielechowski Former name

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
I20231213002072 NE Practitioner - Mental Health Counselor 8426407602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Valley Behavioral Health IncGroup PAC ID 3971403668, 32 clinicians

Practice addresses (Care Compare)

1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Behavioral Health Inc CurrentSince Jan 1, 2024 Accepting new patients
St. Joseph's Children's Home Past Accepting new patients

Locations

1123 N 9th St
Beatrice, NE 68310
Phone (402) 228-3386

3901 Normal Blvd
Ste 201
Lincoln, NE 68506
Phone (402) 261-4017

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1720364847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102041",
            "telephone_number": "402-228-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102041",
            "telephone_number": "402-228-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "LAURA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WIELECHOWSKI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beatrice, NE

Sources for this page

Verify at the official NPI Registry.