Active NPI
Caroline Kenney
- Mental Health Counselor
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12885
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3789 | NE | MD | Mental Health Counselor |
| 12885 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Family Service | Mental Health | Current | Accepting new patients |
| Lutheran Family Services of NE, Inc | Mental Health | Current | Accepting new patients |
| Heartland Family Service | Current | Accepting new patients | |
| Heartland Family Service | Current | Accepting new patients | |
| Heartland Family Service | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Omaha, NE
- NPI 1891788048
NE
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Council Bluffs, IA
- NPI 1972343184
IA
-
- Multi-Specialty Clinic/Center
- Council Bluffs, IA
- NPI 1447742036
Mental Health
-
- Professional Counselor
- Council Bluffs, IA
- NPI 1710136841
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.