Individual provider Active NPI

Caleb Green, LIMHP

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1780358499
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3999 Issued in NE
Practice address
1800 W Pasewalk Ave Ste a
Norfolk, NE 68701-5657
Phone
(402) 500-6870
NPI assigned
Aug 5, 2021
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NE
Mental Health Counselor 101YM0800X 3999 NE Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1800 W Pasewalk Ave Ste a
Norfolk, NE 68701-5657

Mailing address

1800 W Pasewalk Ave Ste a
Norfolk, NE 68701-5657
Phone (402) 500-6870

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
I20231215001554 NE Practitioner - Mental Health Counselor 8820447881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cor Therapeutic Services, LLCGroup PAC ID 1355796343, 16 clinicians

Practice addresses (Care Compare)

3805 25TH St
Columbus, NE 68601-2233
Phone (402) 500-6870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3999NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Therapeutic Services, LLC Mental Health CurrentSince Feb 27, 2025 Accepting new patients

Locations

1203 S 8th St
Norfolk, NE 68701
Phone (402) 371-0220

1800 W Pasewalk Ave
Ste A
Norfolk, NE 68701
Phone (402) 369-2975

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, 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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1780358499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK AVE STE A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015657",
            "telephone_number": "402-500-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK AVE STE A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015657",
            "telephone_number": "402-500-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CALEB",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3999",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.