Active NPI
Rejuvenation Connection, LLC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1730004839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- REJUVENATION CONNECTION, LLC
- Practice address
- 2421 Bauman Ave
Omaha, NE 68112-3311 - Phone
- (402) 637-5166
- NPI assigned
- Aug 10, 2026
- Last updated
- Aug 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Louis Bailey III, LADC, LMHP, LPC
- Title
- Program Creator
- Phone
- (402) 637-5166
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2421 Bauman Ave
Omaha, NE 68112-3311
Mailing address
1023 Jones St Apt 902
Omaha, NE 68102-2937
Phone (402) 637-5166
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Omaha, NE
- NPI 1366745937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1730004839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 JONES ST APT 902",
"city": "OMAHA",
"state": "NE",
"postal_code": "681022937",
"telephone_number": "402-637-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 BAUMAN AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681123311",
"telephone_number": "402-637-5166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REJUVENATION CONNECTION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "PROGRAM CREATOR",
"authorized_official_telephone_number": "402-637-5166",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "LADC, LMHP, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"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 Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.