Individual provider Active NPI

Caroline Kenney

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1902552292
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12885 Issued in NE
Practice address
2661 Douglas St
Omaha, NE 68131-2626
Phone
(402) 455-9757
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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 12885 NE Primary

Addresses

Primary practice location

2661 Douglas St
Omaha, NE 68131-2626

Mailing address

124 S 24TH St Ste 230
Omaha, NE 68102-1226
Phone (402) 978-5644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251014004524 IA Practitioner - Clinical Social Worker 7012404957 Reassigns benefits to 1 organization
I20251209001815 NE Practitioner - Mental Health Counselor 7012404957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3300 N 60TH St
BLDG C
Omaha, NE 68104-3402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3789NEMDMental Health Counselor
12885NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Family Service Mental Health CurrentSince Aug 18, 2025 Accepting new patients
Lutheran Family Services of NE, Inc Mental Health CurrentSince Feb 27, 2022 Accepting new patients
Heartland Family Service CurrentSince Nov 3, 2025 Accepting new patients
Heartland Family Service Current Accepting new patients
Heartland Family Service CurrentSince Aug 18, 2025 Accepting new patients

Locations

1515 Avenue J
Council Bluffs, IA 51501
Phone (712) 435-5350

719 Market St
Harlan, IA 51537
Phone (712) 695-4002

3300 N 60th St
Bldg C
Omaha, NE 68104
Phone (402) 552-7459

2101 S 42nd St
Omaha, NE 68105

2661 Douglas St
Omaha, NE 68131
Phone (402) 455-9757

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

11807 Q St
Omaha, NE 68137
Phone (402) 505-5270

Organizations & group practices 5

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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1902552292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S 24TH ST STE 230",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021226",
            "telephone_number": "402-978-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 DOUGLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312626",
            "telephone_number": "402-455-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.