Individual provider Active NPI

Charles Michael Kohler, MSW, CSW-PIP

  • Mental Health Counselor
  • North Platte, NE
National Provider Identifier
1740621168
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2883 Issued in NE
Practice address
120 E 12TH St
North Platte, NE 69101-2365
Phone
(308) 532-0587
NPI assigned
Jul 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3540 SD
Mental Health Counselor 101YM0800X 2883 NE Primary

Addresses

Primary practice location

120 E 12TH St
North Platte, NE 69101-2365

Mailing address

7929 W Center Rd
Omaha, NE 68124-3104

Other names 1

  • Mike Kohler Other 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
I20231226000536 NE Practitioner - Clinical Social Worker 6608226196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3540SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc Mental Health CurrentSince Dec 6, 2023 Accepting new patients

Locations

120 E 12th St
North Platte, NE 69101
Phone (308) 532-0587

7929 W Center Rd
Omaha, NE 68124
Phone (402) 342-7007

124 S 24th St
Ste 230
Omaha, NE 68102
Phone (402) 591-5078

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": "1373760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1740621168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 12TH ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691012365",
            "telephone_number": "308-532-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "MSW, CSW-PIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-14",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "3540",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "KOHLER",
            "credential": "MSW, CSW-PIP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.