Organization Active NPI

Rejuvenation Connection, LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1730004839
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REJUVENATION CONNECTION, LLC
Practice address
2421 Bauman Ave
Omaha, NE 68112-3311
Phone
(402) 637-5166
NPI assigned
Aug 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

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.

Verify at the official NPI Registry.